Members Retirees Employers
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Member Change of Address Form
This form is for members only. Retirees must change their address in writing to SERS. Information submitted via this form is encrypted for transmission and is not stored on a publicly accessible server. All fields marked with an asterisk (*) are required.
Name: *
Social Security Number (last 4 digits): *
Date of Birth:
Phone:
Email: *
Old Address *
Address:
City:
State:
ZIP:
New Address *
Address:
City:
State:
ZIP: