Member Forms

Overview

Member Forms

We offer some Downloads as Adobe Acrobat (PDF) or Microsoft Word (doc) files. If you need a PDF reader, you can download Adobe Reader. If you don’t have Word, you can download Microsoft’s Word Viewer.

Forms are not effective until they are received in our administrative offices in Baltimore.

Current wait times

Estimates Refunds
6-8 weeks Up to 90 days*

*Not paid in July

Post

Printable Forms

New members should submit the appropriate Application for Membership and Designation of Beneficiary forms.
 

Application for Membership

Form 1: Application for Membership
Employees, Teachers and Correctional Officers

Form 3: Judges' Retirement System Application for Membership
Judges

Form 2: Legislative Pension Plan Application for Membership
Legislators

Designation of Beneficiary

Form 4: Designation of Beneficiary
Employees, Teachers and Correctional Officers

Form 4.1: Designation of Beneficiary
Judges

Form 55: Designation of Beneficiary
​Legislators

Forms for Use During Membership (applicable to all plans)

Form 26: Request to Purchase Previous Service

Form 37: Election to Transfer Service

Form 37.37: Election to Combine Service Within the Employees' or Teachers' Pension System (§23-303.1)

Form 43: Claim of Retirement Credit for Military Service

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

Service Retirement Estimate Request

Form 9: Application for an Estimate of Service Retirement Allowance
Teachers and Employees, 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

Service Retirement

To apply for service retirement, three forms are needed: A retirement application, a tax withholding request and a direct deposit sign-up.

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

Form 14/24: Application for Service or Disability Retirement
Maryland 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

Tax Withholding Request

Form 766: Federal and Maryland State Tax Withholding Form

Direct Deposit Sign-Up

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

Disability Retirement

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

To apply for disability retirement, submit Form 129 and Form 20.

Form 129: Preliminary Application for Disability Retirement

Form 20: Statement of Disability

Withdrawal of Accumulated Contributions

Application for Withdrawal of Accumulated Contributions Package
For use by eligible former members of all plans.

Deferred Retirement Option Program (DROP)

DROP forms apply only to members of the State Police Retirement System and Law Enforcement Officers’ Pension System.

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

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

Application for Withdrawal of DROP

Deferred Retirement Option Program (DROP) Termination Package
Maryland State Police
Form 128: Reemployment After Retirement
Maryland State Police

Deferred Retirement Option Program (DROP) Termination Package
Law Enforcement Officers
Form 131: Reemployment After Retirement
Law Enforcement Officers

Forms for Special Situations

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

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