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Forms - Retiree Information |
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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 link above. |
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AC-0400+
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Authorization Agreement for Electronic
Direct Deposit |
Request Form |
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GU-1021
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Confidentiality Election Form - Home
Contact Information |
Request Form |
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CL-0888+ |
Consent Form Designating Authorized
Representatives |
Request Form |
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GU-1020
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Important Notice to New Benefit
Recipients |
Request Form |
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MM-0002+
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Member/Benefit Recipient Data Update |
Request Form |
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H0036 |
Retiring and Returning to Work for the
Same Employer |
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CL-0078
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Social Security Benefits and MainePERS
Benefits |
Request Form |
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H0032
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Taxes and Your First Benefit Payment |
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H0019 |
How the Taxable Portion of Your Service
Retirement Benefit
is Determined
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W-4P
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Withholding Certificate for Pension or
Annuity Payments |
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W-4ME
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Employees Maine Withholding Allowance
Certificate |
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+ 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.
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