PENNSYLVANIA MUNICIPAL RETIREMENT SYSTEM - Enrollment in Plan & Employee Personal Records

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Enrollment in Plan & Employee Personal Records

Click on the “DOWNLOAD” button to complete the appropriate form. You may complete the form online, but you must save it to your computer first, then print it to mail or email to PMRS. Please read the form instructions carefully to avoid delays.

(PMRB-1) Member Enrollment Application

(PMRB-1) Member Enrollment Application Description

Application for Membership:

Enrolls an employee into the pension plan (Must be completed by every covered employee)


(PMRB-1 A) Optional Membership

(PMRB-1 A) Optional Membership Description

Optional Membership:

Enrolls an employee into the pension plan (Must be completed by every covered employee)


(PMRB-2) Nomination of Beneficiaries

(PMRB-2) Nomination of Beneficiaries Description

Nomination of Beneficiaries:

Allows a member to name or change a beneficiary (Must by completed by every covered employee)


(PMRB 5-A) Notice of Demographic Change

(PMRB 5-A) Notice of Demographic Change Description

Notification of Change:

Notes changes in a member’s record such as change in address or name.


(PMRB 5-B) Notice of Service Record Change

(PMRB 5-B) Notice of Service Record Change Description

Change Of Service:

Notes changes in a member’s military service record.


(PMRB-15) Voluntary Contribution Change

(PMRB-15) Voluntary Contribution Change Description

Voluntary Contribution Change:

Allows a member whose plan authorizes optional employee contributions to start, stop or change an optional withholding rate.


(PMRB-26) Portability

(PMRB-26) Portability Description

Portability:

Allows a member changing employers to transfer credited service to the new plan.


(PMRB-27) Authorization To Release Pension-Related Information

(PMRB-27) Authorization To Release Pension-Related Information Description

Authorization To Release Pension-Related Information:

Authorizes PMRS to release pension-related information to an individual or organization or revokes the release of such information.


Optional Election Membership

Optional Election Membership Description

Optional Election Membership:

Recommended for any employer whose PMRS administered pension plan allows for optional membership in the plan.

Pennsylvania’s local governments' pension administrator of choice.

JOSH SHAPIRO, GOVERNOR
TIMOTHY A. REESE, CHIEF EXECUTIVE OFFICER
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