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= Available on myMERS. Forms with a star may be completed Online by logging into your myMERS account.

Form #ProductNameAudiencemyMERS

MD-802

IRA

Contribution Form

All, Participant, Retiree

Yes

MD-005b

457 Program, Defined Contribution, Hybrid Plan, IRA

Direct Rollover Between MERS Plans

Participant, Retiree

No

MD-807

IRA

Non-Spousal Beneficiary Claim Request Form

Employee, Participant, Retiree

No

IRA

Participant, Retiree

Yes

F-31

Defined Benefit, Hybrid Plan

Pension Federal Income Tax

Participant, Retiree

Yes

F-36

Defined Benefit, Hybrid Plan

Funds Transfer – Direct Deposit Authorization

Participant, Retiree

Yes

F-41

Defined Benefit, Hybrid Plan

Beneficiary Change for Period Certain Payments

Participant, Retiree

No

MD-105

Health Care Savings Program

Reimbursement Claim Form

Participant, Retiree

Yes

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