Important Notice - Instructions
Please follow these instructions. If you do not, we may not be able to process your form(s).
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Step 1: Click on the appropriate link to the right to select the desired form.
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Step 2: Follow the instructions on the form. For assistance, contact your
ESC representative.
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Step 3: Submit the form and additional documentation (if needed) to the Oregon Public Employees Retirement System.
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Step 4: Complete and sign the form in blue or black ink.
Do not use pencil.
How to Submit the Forms
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By Fax: 503-603-7626 (Attention: Employer Service Center)
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By Email: Scan and email form(s) and documentation to
PERS.EDX.Support@pers.oregon.gov. (Do not include full Social Security numbers.)
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By mail: Mail the form(s) and documentation to the Oregon Public Employees Retirement System, PO Box 23700, Tigard, OR 97281-3700.
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In person: Deliver the form(s) and documentation to the Oregon Public Employees Retirement System offices at: 11410 SW 68th Parkway, Tigard, Oregon.
PERS provides some online publications in .pdf format. To view them, you must have the most recent version of Adobe Reader®.
Download the latest version of Adobe Reader®.
In compliance with the Americans with Disabilities Act, PERS will provide these documents in an alternate format upon request. To request this, contact PERS at 888-320-7377 or TTY 503-603-7766.