Member Forms
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.
Approximate processing times:
| Estimates | Refunds |
|---|---|
| Temporarily suspended due to COVID 19 | 45 days* |
*Not paid in July
Due to COVID 19, we are unable to process estimates submitted by paper. However, members can create an estimate online through mySRPS with no wait time! Click here for more information about mySRPS.
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 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
Due to COVID 19 we are unable to process estimates submitted by paper. However, now you can get an estimate online by using mySRPS our new secure website!
On mySRPS, you can create as many estimates as you’d like. You can download them 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.
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
Deferred Retirement Option Program (DROP) Termination Package
Law Enforcement Officers
Forms for Special Situations
Form 143: Verification of Retiree's Disabled Child for Selection of Option 2 / 5 Beneficiary