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Purchase-Related Forms for Tier One/Tier Two members


Notice: You must submit a written benefit estimate request if you are a Tier One/Tier Two member and want to consider a purchase at retirement

A written benefit estimate will show what purchases (if any) are available to you and the estimated cost of those purchases. All eligible waiting time and forfeited service (refunded time) purchases are automatically included in the estimate. Provide any additional information about purchases you may be eligible for at retirement​ on the estimate request form.
Full details about purchases can be found on the Tier One/Tier Two Purchases page. 

All Purchases 

You must request a written benefit estimate to receive the estimated cost of what purchases (if any) are available to you. 

Below are additional forms you may need to fill out for specific purchases. ​Please refer to the Tier One/Tier Two Purchases page for full details, FAQs, and other information before submitting these forms.​

Trustee-to-Trustee Transfer to PERS for Purchases – Use this form to purchase service time using pre-tax dollars from a 457 governmental-deferred compensation plan like the Oregon Savings Growth Plan (OSGP) or a 403(b) tax-sheltered annuity.


Seasonal Service Time Purchase

Certification of Seasonal Service


Out-of-State School Service Time Purchase


Non-PERS Police and Fire Service Time Purchase (in Oregon)


Out-of-State Police Service Time Purchase


  P&F Unit Purchase