Maryland State Retirement and Pension System

Name(Required)

Address(Required)

Street City State ZIP Code

Designation of Beneficiary Forms:

Form 4: Designation of Beneficiary – All members except Judges and Legislators

Form 4.1: Designation of Beneficiary – Judges

Third Form 55: Designation of Beneficiary – Legislators

Election to Not Participate in the Maryland State Retirement and Pension System:

Form 60: Election not to Participate in the Teachers’/Employees’ System by Faculty or Professional or Administrative Employees

Form 60.15: Election not to Participate in the Employees’ Pension System by an Elected or Appointed Official

Transfer of Service:

Form 37: Election to Transfer Service Between Systems Within the Maryland State Retirement and Pension System

Form 37.26: Election to Transfer Service from a Local Retirement or Pension System to the Md. State Retirement and Pension Syst.

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:

Form 46: Qualified Leave of Absence Request OR Notification of Military Service Entry

Additional Credit (Purchased Service or Military Service):

Form 26: Request to Purchase Previous Service

Form 43: Claim of Retirement Credit for Military Service

Disability Application:

Form 129: Preliminary Application for Disability Retirement

Form 20: Statement of Disability

Form 21A: Application for an Estimate of Disability Retirement Allowance – Employees, Teachers, and Correctional Officers

Form 22: Application for an Estimate of Disability Retirement Allowance – State Police

Form 100: Application for an Estimate of Disability Retirement Allowance – Law Enforcement Officers

Withdrawal of Accumulated Contributions Form:

Application for Withdrawal of Accumulated Contributions Package

Deferred Retirement Option Program (DROP): Enrollment Forms:

Deferred Retirement Option Program (DROP) Enrollment Package – State Police

Deferred Retirement Option Program (DROP) Enrollment Package – Law Enforcement Officers

Deferred Retirement Option Program (DROP): Application for Withdrawal Forms:

Deferred Retirement Option Program (DROP) Termination Package – State Police

Deferred Retirement Option Program (DROP) Termination Package – Law Enforcement Officers

Service Retirement Estimate:

Form 9: Application for an Estimate of Service Retirement Allowance – Employees, Teachers, Correctional Officers, and Local Fire and Police

Form 10: Application for an Estimate of Service Retirement Allowance – State Police

Form 12: Application for An Estimate of Service Retirement Allowance – Judges

Form 97: Application for an Estimate of Service Retirement Allowance – Law Enforcement Officers

Retirement:

Form 13/23: Application for Service or Disability Retirement – Employees, Teachers, Correctional Officers, and Local Fire and Police

Form 14/24: Application for Service or Disability Retirement – State Police

Form 98/101: Application for Service or Disability Retirement – Law Enforcement Officers

Form 16: Application for Service Retirement – Judges

Form 15: Application for Retirement – Legislators

IRS Form W-4P 2022 for Federal Tax Withholding (use this form if your retirement date is 1/1/2023 or or later

Form 766.11: Maryland State Tax Withholding Request

Form 85: Direct Deposit — Electronic Funds Transfer Sign-Up Form

Form 143: Verification of Retiree’s Disabled Child for Selection of Option 2 / 5 Beneficiary

Retiree Forms:

Form 77: Contact Information Change Request

Form 85: Direct Deposit — Electronic Funds Transfer Sign-Up Form

IRS Form W-4P for Federal Tax Withholding

Form 766.11: Maryland State Tax Withholding Request

mySRPS Forms:

Form 146: Identification Affidavit for mySRPS

Form 147: mySRPS Freeze Request

Forms Request