Member and Retiree Forms
Online Forms - Make Updates via My PERA Account
Did you know you can make updates to your account electronically? Login to manage your account or submit forms for a selection of the categories indicated below.
Downloadable PDFs - Browse by Category
Direct Deposit and Deduction Authorization
Online (login required)
- Direct Deposit by Electronic Funds Transfer (EFT) (monthly benefit payments)
PDFs (downloadable)
Direct Deposit by Electronic Funds Transfer (EFT) (monthly benefit payments)Direct Deposit by Electronic Funds Transfer (EFT) for MinorsAuthorization for Strength in Change Foundation DeductionAuthorization for a Credit Union or Bank DeductionMember Information Form
Address Change
Online (login required)
PDF (downloadable)
Address Change Form (DB Plan, DC Plan, PERAPlus, Life Insurance)Beneficiary Change
Online (login required)
- Beneficiary Change Form (Defined Benefit Plan)
PDFs (downloadable)
Retiree Named Beneficiary Change FormLife Insurance Beneficiary Designation FormDisability
Divorce/Domestic Relations Orders
Health Benefits (PERACare)
Online (login required)
PDFs (downloadable)
PERACare 2023 Enrollment/Change Form - Medicare CoveragePERACare 2023 Enrollment/Change Form - Pre-Medicare CoveragePERACare 2023 Enrollment/Change Form - Combination Pre-Medicare and Medicare CoverageMedicare Card Submission FormCertification of Previous Health Care CoveragePERACare Automatic Payment AuthorizationPERACare Program CancellationPurchasing Service Credit
Defined Contribution (DC) Plan (PERAChoice)
School Certifications (for benefit contingencies)