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Employer Customer Contact Change Online Form

Employer Contact Change Form

Have you had a staffing change that requires an update to your MERS designated employer contacts (example: HR contact, Primary contact, etc.)? If so, here is how to request a change:

Submit the form below
We will respond via email and provide you with a Contact Change Form
Complete the form and submit back to MERS

As a reminder, each role receives specific documents, reports, and communications from MERS. For more information on these roles, view our employer page.

Request a change

Employer Information
Municipality Name*
Requestor First Name*
Requestor Last Name*
Requestor Position Title*
Requestor Email*
Requestor Phone*

Disclaimer: The information contained in this Web site is being made available as a public service. The information is not intended to constitute legal, tax, accounting or investment advice, or to replace official versions of that information. Benefit Estimates or Service Credit Purchase estimates requested through this Web site are not official descriptions of any benefits, and do not represent a promise by MERS to provide any benefit(s) to any person(s). No one can detrimentally rely upon the information provided in, or requested through this Web site. MERS reserves the right to correct any errors, and presents this information without warranties, express or implied, regarding the information's accuracy, timeliness or completeness. If you believe the information is inaccurate, out-of-date, or incomplete, or if you have problems accessing or reading the information, please call MERS at 800.767.MERS (6377).

Employer Customer Contact Change Online Form

Employer Contact Change Form

Request a change

Employer Information