ERS Forms

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Active Members

You can use your ERSGA online account to update your beneficiaries, generate benefit estimates, and starting July 2018, even apply for your Service Retirement benefit. Using your online account is fast, easy, and secure!

Disability Retirement Application
Service Retirement Application*
Active Member Change of Beneficiary*
Special Tax Notice - Safe Harbor (if you are considering taking a PLOP at Retirement)
GTLI Leave Without Pay Continuation Form
Pension Benefit Estimate Request Form*

*Use your ERSGA online account for faster service. 

Retired Members

You can use your ERSGA online account to update your home address or direct deposit information, make changes to your federal and state withholding, create a benefit verification letter, and even update certain beneficiaries.  Using your online account is fast, easy, and secure!

Retiree Change of Address Form*
Retiree Pension Direct Deposit Form*
Federal Income Tax Substitute Form W-4P*
State Income Tax Substitute Form G-4P*
Retiree Change of Beneficiary*

*Use your ERSGA online account for faster service.

Inactive or Terminated Members

You can use your ERSGA online account to update your home address or make changes to your beneficiary designations. Additionally:

  • If you have 10 or more years of service, you can use your online account to generate benefit estimates, and even to apply for your retirement benefit.
  • If you have less than 10 years of service, you can use your online account to request a refund of your contributions and interest.

Refund Application *
Special Tax Notice - Safe Harbor (if you are eligible to roll over the interest portion of your refund)*
Service Retirement Application *
Inactive Member Change of Address Form*
Active Member Change of Beneficiary*
Pension Benefit Estimate Request Form*

*Use your ERSGA online account for faster service.