ERS Forms

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Active Members

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

Disability Retirement Application
Service Retirement Application*
Active or Inactive 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*
GTLI Change of Beneficiary*

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

Requesting a Refund

If you are not able to apply for a refund online, please contact ERSGA for assistance.  Our contact information can be found by selecting Contact under the About menu.  You can call and speak to a customer care representative, or click Contact the Customer Care Group link on the right side of the Contact page. 

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

*Use your ERSGA online account for faster service.