PENNSYLVANIA MUNICIPAL RETIREMENT SYSTEM - Miscellaneous Forms

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Miscellaneous Forms

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-21) Instructions

(PMRB-21) Quarterly Report of Compensation and Contributions Instructions

Instructions to complete the quarterly report of contributions form.

(PMRB-21) Quarterly Report Excel Form

(PMRB-21) Quarterly Report of Compensation and Contributions Excel Description

This form is used to report compensations and contributions to individual member accounts.

(PMRB-21) Quarterly Report PDF Form

(PMRB-21) Quarterly Report of Compensation and Contributions PDF Description

This form is used to report compensations and contributions to individual member accounts. If you prefer an excel spreadsheet, click here to download and save.


(PMRB-21a) Quarterly Report Form

(PMRB-21a) Quarterly Report Form Description

Quarterly Report Form:

This report is used to reconcile deposits and contributions to individual member accounts.


NEW (PMRB-30) Disclosures

NEW (PMRB-30) Disclosures Description

Disclosures Form:

This form is to be used to make required disclosures to the Pennsylvania Municipal Retirement Board.


(SSA-1945) Statement Concerning Your Employment in a Job Not Covered by Social Security

(SSA-1945) Statement Concerning Your Employment in a Job Not Covered by Social Security Description

Statement Concerning Employment for Jobs Not Covered by Social Security:

Municipalities are required to provide this form to employees prior to employment for those who will work in positions not covered by Social Security. Once the employee signs the form, the municipality must submit a copy of it to PMRS where it will be kept on file.


PMRS Standard Investment Managers Advisory Agreement

PMRS Standard Investment Managers Advisory Agreement Description

PMRS Standard Investment Manager Advisor Agreement:

Sample agreement used to retain investment advisors.

Pennsylvania’s local governments' pension administrator of choice.

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