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 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 Waiver of Coverage Form

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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