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Inactive Tier One and Tier Two Member Forms and Information
Form Name  Description
Estimate Request Use this form to request an estimate of benefits.
Additional Estimate Request Fee Agreement  Fee agreement for requesting more than two estimates per year.
One-Time Variable Election: Active/Inactive Member  Transfer from Variable Annuity Account to regular account.
Information Change Request  Use this form to change your name, address, or Social Security number.
Pre-Retirement Designation of Beneficiary Use this form to add or change a beneficiary.
Data Verification Request  Tier One, Tier Two, and OPSRP Pension Program active or inactive members who are within two years of their earliest retirement age can request a verification of certain data.
Account Reconciliation Request
This form is used to capture concerns about the accuracy of your employment information. It provides you an opportunity to document your concerns for subsequent review and reconciliation by PERS staff.
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