Member Forms

Overview

Member Forms

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.) 

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:

  1. The Application for Membership form that applies to your plan
  2. 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 except Legislators Form 43: Claim of Retirement Credit for Military Service

 

Disability Application

Note: To apply for disability retirement, you must submit 3 forms:

  1. A Preliminary Application (Form 129)
  2. A Statement of Disability (Form 20)
  3. 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 3 forms:

  1. The Retirement Application that applies to your plan
  2. A Tax Withholding Request (Form 766)
  3. 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 Form 766: Federal and Maryland State Tax Withholding Form
All Members Form 85: Direct Deposit — Electronic Funds Transfer Sign-Up Form
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