Other Membership Forms

Forms - Other Membership

Forms may be downloaded by clicking the corresponding form number below. The "Request Forms" e-mail is for ordering hardcopy forms only. For all other inquiries, please contact MainePERS directly.

To use these forms you will need Adobe Reader^®. If you don't have Reader, you can get it free by clicking the Adobe icon to the right.

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CL-0102S	Application for Membership - CONTACT US	Request Form
CL-0102PS	Application for Membership - CONTACT US	Request Form
GU-1021	Confidentiality Election Form-Home Contact Information	Request Form
MM-0002+	Member/Benefit Recipient Data Update	Request Form
Package+	Refund Application Package	Request Package

W-4ME	Employees Maine Withholding Allowance Certificate
W-4P	Withholding Certificate for Pension or Annuity Payments

+ Forms indicated with "+" may be viewed and completed on the screen using a recent version of Adobe^® Reader^®, printed, and mailed to the MainePERS. You may click on any line to complete that area or use TAB to move forward and SHIFT-TAB to move back. Forms cannot be saved or altered.