Forms and Publications

Apply for retirement For most account changes, you don't need a paper form. Simply access your account online to name a beneficiary, change your address, view and apply for service credit, estimate your pension, apply for retirement, and much more.

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For Active Member 


Retirement Application Forms

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DROP Participants

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For Retirees

  • Direct Deposit Application (R0277X) 
  • Name, Address, and Contact Information Change (R0357X) 
    Use this form to change your physical address, mailing address, email address, name, or phone number with ORS.
  • Insurance Enrollment/Change Request (R0452H)
    Use this form to enroll in one or more of the retirement system insurance plans, change from one health plan to another, or add, delete, or change a name for anyone on your existing insurance coverage. Also use this form to notify the Office of Retirement Services (ORS) if you or any of your covered dependents become eligible for Medicare or other health, dental, vision or prescription group insurance coverage.
  • Insurance Rates
    Health, dental, and vision insurance rates for retirees are published by the Department of Civil Service - Employee Benefits Division.
  • Income Tax Withholding Authorization (R0012X)  
    Use this to change the federal and Michigan income tax withholding on your retirement pension.
  • Domestic Relations Orders: Background and Instructions (R0912HD)
    Important instructions, background information, and examples for completing a Domestic Relations Order that complies with retirement statutes. This information will help you understand how a DRO affects your pension.
  • Domestic Relations Order (DRO) (R0323H)  
    A Domestic Relations Order (DRO) is a specific type of court order that provides instructions for dividing a public pension as part of a divorce. It applies only to retired members of a pension system. ORS has developed a downloadable, fillable form to allow you to create accurate and complete DROs that can be administered under the retirement statutes. This interactive PDF prevents errors by not allowing contradicting selections, by prefilling information, preventing typographical errors, and by offering pop-up help screens. It is the preferred document to file with the Office of Retirement Services. This is the fastest, most efficient way to complete your filing. Complete it online, save it, print it, then take the printed copy to the court for the judge's signature. Background information, instructions, and examples are provided separately in Domestic Relations Orders: Background and Instructions (R0912HD).
  • Refund Beneficiary Designation for Retirees (R0748X)
  • Life Insurance Beneficiary Designation (R0782GHB)

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Release Authorization

Release Of Information Authorization (R3488CGHBD)  
If you need to request a copy of documents located in your account, please complete and submit this form.

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Publications


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Related Documents
Deferred Retirement Option Plan (DROP) Beneficiary Designation (R0626H) PDF icon