Forms and Publications

Section 1

Retiree Forms

Authorization for Release of Member Information Auto Pay Sign-Up Form Direct Deposit Form Direct Rollover/Distribution Form Division of Property Order Form Federal Tax Withholding Form Healthcare Cancellation of Spouse or Dependent Form Healthcare Cancellation/Waiver of Coverage Form Ohio State Tax Withholding Form Personal Information Change Form Prescription Medication Cost Estimate Reemployed Retiree Payment Application Report the Death of a SERS Member or Benefit Recipient

Section 2

Informational Handouts

Account Login Step-by-Step Guide COLA Changes: What You Need to Know HIPAA Notice of Privacy Practices Marketplace Wraparound HRA Brochure Recipient Income Tax Information Reemployment Handout What Is Medicare?

Section 3

Retiree Publications

Domestic Relations Guide Express Scripts Prescription Drug Coverage Guide Member Health Care Guide Open Enrollment Guide Service Retirement Guide Survivor Benefits Guide

Contact Us

We’re glad you’re a retiree of SERS. If you have questions, we are here to help.

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