GJRS Forms

Post

Active Members

Service Retirement Application
Active Member Change of Beneficiary Form*
Membership Application
Spousal Benefit Election Form
Spousal Benefit Change Form
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*

*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.

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

Using your ERSGA online account is fast, easy, and secure!

Refund Application*
Special Tax Notice - Safe Harbor (if you are eligible to roll over the interest portion of your refund)*
Residency Affidavit Acceptable Documents (if you are requesting a refund and your employer paid part of your contributions – pick-up)
Service Retirement Application
Inactive Member Change of Address Form
Active Member Change of Beneficiary Form*
Pension Benefit Estimate Request Form*

*Use your ERSGA online account for faster service.