Forms may be downloaded by clicking the download links below. To request a hardcopy form, please send an email request via the link in the “Request form via email” column next to the form name. For all other inquiries, please contact MainePERS directly.
Digital Signature Forms through DocuSign: A number of forms are available for completion online with your digital signature and these forms are identified in the “Digital Signature Forms” column next to the form name. The form is completed, signed, and submitted electronically. You will have an option to save an electronic copy of any form you opt to fill out electronically and sign digitally.
Once you select the document, step-by-step directions are available within the DocuSign application.
Click here for more information on digital signatures
A digital signature means a computer-created electronic signature that is:
- intended by the person using it to have the same force and effect as the use of a manual signature;
- unique to the person using it;
- capable of verification;
- under the sole control of the person using it; and
- linked to data in such a manner that it is invalidated if changes are made to the data.
Digital signatures require creation by specialized software platforms.
|Download form as PDF
|Request form via email
|Digital Signature Forms
|Service Retirement Application Package
|Authorization Agreement for Preauthorized ACH Debits - MaineSTART
|Authorization Agreement for Preauthorized ACH Credits -DB and GLI Plans
|Authorization Agreement for Preauthorized ACH Credits - MaineSTART
|Pension Beneficiary Designation for Pre-Retirement Death Benefits
(Individuals completing this form might also consider completing the Change of Beneficiary Group Life Insurance form.)
|Download DocuSign Form CL-0722
|Information Regarding Pension Beneficiary Designation for Pre-Retirement Death Benefits
|MainePERS Employer Security Administrator Authorization
|Employer Self Service Security Administrator Designation Form
|Annual Employer Self Service (ESS) Security Compliance Certification
|Request for Basic and/or Additional Insurance Coverage Requiring Evidence of Insurability
|Download DocuSign Form GI-0874
|Cancellation/Reduction in Coverage
|Designation of Beneficiary - Group Life Insurance
(Individuals completing this form might also consider completing the Pension Beneficiary Designation for Pre-Retirement Death Benefits form.)
|Download DocuSign Form GI-0912
|Payment or Award at Retirement Certification Form
|Confidentiality Election Form - Home Contact Information
|Member/Benefit Recipient Data Update
|Statement Concerning Your Employment in a Job Not Covered by Social Security