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Form #ProductNameAudiencemyMERS
DB-021b
Defined Benefit
Spouse Waiver Consent
All, Participant
No
F-05
Defined Benefit
Enrollment Kit
Employer, Participant
No
F-10
Defined Benefit
Transfer Of Contributions (excluding Hybrid)
Participant
No
DB-013a
Defined Benefit
Benefit Change - Permanent or Temporary
All, Employer
No
DB-013b
Defined Benefit, Defined Contribution, Hybrid Plan
Projection Study
Employer
No
F-17
Defined Benefit
Employee Census
Employer
No
F-21
Defined Benefit
Beneficiary Change
Participant
Yes
F-24
Defined Benefit
Refund Application
Participant
No
F-26
Defined Benefit
Refund Application for Deceased Member's Contributions
Participant
No
F-29
Defined Benefit
Application for Retirement
Participant
Yes
F-29c
Defined Benefit, Defined Contribution, Hybrid Plan
Working in Retirement Certification
Participant
No
F-31
Defined Benefit, Hybrid Plan
Pension Federal Income Tax
Participant, Retiree
Yes
F-31b
Defined Benefit, Defined Contribution, Hybrid Plan
Withholding for Pension or Annuity Payments
Participant
Yes
F-32
Defined Benefit, Hybrid Plan
Monthly Pension Beneficiary Application
Participant
No
F-35b
Defined Benefit
Participant Transfer Certification for Same Employer
Participant
No
F-36
Defined Benefit, Hybrid Plan
Funds Transfer – Direct Deposit Authorization
Participant, Retiree
Yes
F-37
Defined Benefit
Stop Payment
Participant
No
F-38
Defined Benefit
Qualified Fund Rollover to MERS
Participant
No
F-41
Defined Benefit, Hybrid Plan
Beneficiary Change for Period Certain Payments
Participant, Retiree
No
F-42
Defined Benefit
DROP+ and Election
Participant
No
F-48
Defined Benefit
Alternate Payee (Former Spouse) Benefit Application
Participant
No
F-51
Defined Benefit
Application for Disability Retirement
Employer, Participant
No
F-52
Defined Benefit
Disability Retirement
Participant
No
F-53
Defined Benefit
Physician's Statement of Disability
Employer, Participant
No
F-54
Defined Benefit
Psychiatric Medical Report
Employer, Participant
No
F-71
Defined Benefit
Model DRO
Participant
No
F-72
Defined Benefit
Model EDRO
Participant
No
F-79
Defined Benefit, Defined Contribution, Hybrid Plan
Reciprocal Units (Act 88) - Resolution
Employer
No
MD-001
457 Program, Defined Benefit, Defined Contribution, Health Care Savings Program, Hybrid Plan
Personal Information
Participant
Yes
DB-001a
Defined Benefit
Admin Order Adopting The MERS Defined Benefit Plan
Employer
No
DB-001b
Defined Benefit
Resolution Adopting The MERS Defined Benefit Plan
Employer
No
DB-002
Defined Benefit
Adoption Agreement
Employer
No
DB-004
Defined Benefit
Service Credit Purchase Opt-Out Form
Employer
No
DB-007
Defined Benefit
Defined Benefit Plan Surplus Division Adoption Addendum
Employer
No
DB-094
Defined Benefit
Employer Resolution Establishing Uniform Transfer Provision
Employer
No
F-27
Defined Benefit, Defined Contribution, Hybrid Plan
Other Governmental Service Application
Participant
No
F-55
Defined Benefit
Application for Defined Benefit Deferred Retirement Option Program (DROP)
Participant
No
F-56
Defined Benefit
Defined Benefit DROP Distribution Request Form
Participant
No
DB-001c
457 Program, Defined Benefit, Defined Contribution, Health Care Savings Program, Hybrid Plan, Investment Services Program, Retiree Health Funding Vehicle
Resolution Establishing Authorized Signatories for MERS Contracts and Service Credit Purchase Approvals
Employer
No
Defined Benefit
DB Plan Invoice Change Request
Employer
Yes