Member Forms
Member Forms
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Did you know that in some cases, you may not need to download a form? We now have a secure self-service website: mySRPS. Members who have registered for mySRPS can make some transactions directly on line, no form needed.
We’re still at a very early stage with mySRPS. So right now, this applies to only a few forms. We’ve identified those in the sections below. When we add more features to mySRPS, we’ll update the information. Click here if you want to learn more about mySRPS. |
Note: You can print any of these forms and fill them out by hand. Some forms have another option. You can fill them out on line, then print them out with your information already entered. In either case, you must have a PDF reader. (If you need one, you can download Adobe Reader.)
You can also order forms by clicking here. Please note, it make take up to 3 business days for forms to be mailed.
Important! After you fill out the form, you must print it out and send it to us. The form itself tells you how to do this. Note that this is the case even if you fill out the form online. In some cases, you must get the form notarized when you sign it.
We cannot process your form until it arrives at our office in Baltimore.
Application for Membership Forms
Note: New members should submit 2 forms:
- The Application for Membership form that applies to your plan
- The Designation of Beneficiary form that applies to your plan
| Who | Form |
|---|---|
| All members except Judges and Legislators | Form 1: Application for Membership |
| Judges | Form 3: Judges' Retirement System Application for Membership |
| Legislators | Form 2: Legislative Pension Plan Application for Membership |
Designation of Beneficiary Forms
| Who | Form |
|---|---|
| All members except Judges and Legislators Note: You can make this transaction on mySRPS. |
Form 4: Designation of Beneficiary |
| Judges | Form 4.1: Designation of Beneficiary |
| Legislators | Form 55: Designation of Beneficiary |
Election to Not Participate in the Maryland State Retirement and Pension System
Note: Applies only to individuals who are eligible to elect to participate in the Optional Retirement Program or who are eligible to decline to participate in the Employees’ Pension System.
| Who | Form |
|---|---|
| Teachers and Employees: Only eligible employees of community colleges, the University System of Maryland, Morgan State University, St. Mary’s College, and MHEC who may elect the Optional Retirement Program | Form 60: Election not to Participate in the Teachers'/Employees' System by Faculty or Professional or Administrative Employees |
| Employees: Certain elected or appointed officials and others entitled to optional membership | Form 60.15: Election not to Participate in the Employees' Pension System by an Elected or Appointed Official |
Transfer of Service
| Who | Form |
|---|---|
| All members except Judges and Legislators | Form 37: Election to Transfer Service Between Systems Within the Maryland State Retirement and Pension System |
| All members except Judges and Legislators | Form 37.26: Election to Transfer Service from a Local Retirement or Pension System to the Md. State Retirement and Pension Syst. |
| Members of Employees’ or Teachers’ Pension Systems | Form 37.37: Election to Combine Service Within the Employees' or Teachers' Pension System (§23-303.1) |
Qualifying Leave of Absence OR Notification of Military Service Entry
| Who | Form |
|---|---|
| All members except Judges and Legislators | Form 46: Qualified Leave of Absence Request OR Notification of Military Service Entry |
Additional Credit (Purchased Service or Military Service)
| Who | Form |
|---|---|
| All members except Judges and Legislators | Form 26: Request to Purchase Previous Service |
| All members | Form 43: Claim of Retirement Credit for Military Service |
Disability Application
Note: To apply for disability retirement, you must submit 3 forms:
- A Preliminary Application (Form 129)
- A Statement of Disability (Form 20)
- The Disability Retirement Estimate Form that applies to your system
For more information on opening a disability claim, click here.
| Who | Form |
|---|---|
| All members | Form 129: Preliminary Application for Disability Retirement |
| All members | Form 20: Statement of Disability |
| Employees, Teachers, and Correctional Officers | Form 21A: Application for an Estimate of Disability Retirement Allowance |
| State Police | Form 22: Application for an Estimate of Disability Retirement Allowance |
| Law Enforcement Officers | Form 100: Application for an Estimate of Disability Retirement Allowance |
Withdrawal of Accumulated Contributions Form
The current average processing time for Withdrawal Forms is 45 days. (Please note that we do not process these forms in July.)
| Who | Form |
|---|---|
| Eligible former members of all plans | Application for Withdrawal of Accumulated Contributions Package |
Deferred Retirement Option Program (DROP): Enrollment Forms
| Who | Form |
|---|---|
| State Police | Deferred Retirement Option Program (DROP) Enrollment Package |
| Law Enforcement Officers | Deferred Retirement Option Program (DROP) Enrollment Package |
Deferred Retirement Option Program (DROP): Application for Withdrawal Forms
| Who | Form |
|---|---|
| State Police | Deferred Retirement Option Program (DROP) Termination Package |
| Law Enforcement Officers | Deferred Retirement Option Program (DROP) Termination Package |
Service Retirement Estimate
Note: If you’ve registered for mySRPS, you can create estimates on line – as many as you’d like. No forms, no waiting. You’ll get the results on the spot. You may download your estimates or just leave them on our site. (We’ll save them for you.) And you can create these estimates even if you’re many years from retirement. Click here for more information about mySRPS.
The current average processing time for Estimate Request Forms is 45 days.
| Who | Form |
|---|---|
| Employees, Teachers, Correctional Officers, and Local Fire and Police | Form 9: Application for an Estimate of Service Retirement Allowance |
| State Police | Form 10: Application for an Estimate of Service Retirement Allowance |
| Judges | Form 12: Application for An Estimate of Service Retirement Allowance |
| Law Enforcement Officers | Form 97: Application for an Estimate of Service Retirement Allowance |
Retirement
Note: To apply for retirement, you should submit 4 forms:
- The Retirement Application that applies to your plan
- IRS Form W-4P for federal tax withholding
- A Maryland State Tax Withholding Request (Form 766.11) if applicable
- A Direct Deposit Sign-up (Form 85)
| Who | Form |
|---|---|
| Employees, Teachers, Correctional Officers, and Local Fire and Police | Form 13/23: Application for Service or Disability Retirement |
| State Police | Form 14/24: Application for Service or Disability Retirement |
| Law Enforcement Officers | Form 98/101: Application for Service or Disability Retirement |
| Judges | Form 16: Application for Service Retirement |
| Legislators | Form 15: Application for Retirement |
| All Members | IRS Form W-4P for Federal Tax Withholding |
| All Members | Form 766.11: Maryland State Tax Withholding Request |
| All Members | Form 85: Direct Deposit Authorization You must enclose a voided check, deposit slip, page 1 of your bank statement or a letter signed by a bank representative as proof of your account. All documents must include your full name and full account number. We cannot accept handwritten information as proof of your account (ex: starter checks) |
| All Members except Legislators | Form 143: Verification of Retiree's Disabled Child for Selection of Option 2 / 5 Beneficiary |
mySRPS Forms
| Who | Form |
|---|---|
| All Members | Form 146: Identification Affidavit for mySRPS |
| All Members | Form 147: mySRPS Freeze Request |