LRS Forms

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Active Members

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

Service Retirement Application
Active or Inactive Member Change of Beneficiary Form*
Pension Benefit Estimate Request Form**
GTLI Leave Without Pay Continuation Form
LRS Election/Declination 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 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 8 or more years of service, you can use your online account to generate benefit estimates.
  • If you have less than 8 years of service, you can use your online account to request a refund of your contributions and interest.

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

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)*
Residency Affidavit Acceptable Documents (if you are requesting a refund)
Service Retirement Application*
Inactive Member Change of Address Form*
Active or Inactive Member Change of Beneficiary Form*
Pension Benefit Estimate Request Form*

*Use your ERSGA online account for faster service.