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FORMS AND PUBLICATIONS

Division of Pensions and Benefits publications can be viewed online or downloaded for printing.


FORMSThe forms listed below are in PDF format and require Acrobat Reader which is available free from Adobe.

Loan Applications
  • Submit your Loan Application online using MBOS!
    (MBOS registration required)

Purchase of Service Credit

Retirement Applications

Request for Retirement Estimate

State Employees Deferred Compensation Plan
forms are now available from Prudential Financial at:
www.prudential.com/njsedcp

Beneficiary Designation

Retiree Pension, Tax, and Health Benefits Forms

Application for Withdrawal

Miscellaneous Forms

Can't find the form you want? Check the Online Employer Manual Index of all Forms

PENSION SYSTEM MEMBER HANDBOOKS

Handbooks listed as PDF require Acrobat Reader which is available free from Adobe.

RETIREMENT PLANNING BOOKLETS

Booklets listed as PDF require Acrobat Reader which is available free from Adobe.

HEALTH BENEFITS MEMBER HANDBOOKS AND PUBLICATIONS

Publications listed as PDF require Acrobat Reader which is available free from Adobe.

OTHER BENEFIT PROGRAM INFORMATION

Publications listed as PDF require Acrobat Reader which is available free from Adobe.

FACT SHEETS BY NUMBER (Fact sheets require Acrobat Reader which is available free from Adobe.)
View Fact Sheet listed by Category

#1 - Purchasing Service Credit (PERS, TPAF & PFRS) - 9/09
#2 - Estimating the Cost of Purchasing Service Credit (PERS & TPAF) - 2/09
#3 - Estimating the Cost of Purchasing Service Credit (PFRS) - 2/09
#4 - Applying for Retirement (PERS & TPAF) - 5/09
#5 - Pension Options (PERS & TPAF) - 7/07
#6 - Your Retirement Checklist (All Funds) - 6/09
#7 - New Jersey State Employees Deferred Compensation Plan Distribution Options - 1/07
#8 - Enrollment Eligibility and Age Limits (PFRS) - 10/05
#9 - Divorce and Your Deferred Compensation Plan Account - 1/07
#10 - Reporting a Death - 7/07
#11 - Enrolling in Health Benefits Coverage When You Retire - 9/08
#12 - Taxation of Retirement Benefits (All funds) - 2/09
#13 - Conversion of Life Insurance (All Funds) - 4/09
#14 - Deferred Retirement (PERS, TPAF & PFRS) - 10/06
#15 - Disability Retirement Benefits (PERS & TPAF) - 7/09
#16 - Disability Retirement Benefits (PFRS) - 7/09
#17 - Veteran Status (PERS, TPAF & PFRS) - 11/05
#18 - Cost-of-Living Adjustments (All Funds) - 12/08
#19 - Applying for Retirement (PFRS) - 7/09
#20 - Discontinued
#21 - Employment After Retirement (PERS) - 10/09
#22 - Waiver of Non-Contributory Group Life Insurance over $50,000 - 7/99
#23 - Health Benefit Programs and Medicare Parts A & B for Retirees - 11/08
#24 - Withdrawal from the Retirement System - 3/08
#25 - Employer Responsibilities Under COBRA - 3/08
#26 - Health Benefits Options When Terminating Employment - 3/08
#27 - The Taxability and Mandatory Withholding of Income Tax From Your Pension Distribution - 11/06
#28 - Employment After Retirement (TPAF) - 10/09
#29 - Employment After Retirement (PFRS) - 1/09
#30 - The Continuation of Health Benefits Insurance Under COBRA - 10/08
#31 - Benefits at Termination of Employment through Resignation, Dismissal or Layoff - 10/05
#32 - The New Jersey State Employees Deferred Compensation Plan - 1/09
#33 - The Employer's Role in a Disability Retirement - 11/05
#34 - The Additional Contributions Tax-Sheltered (ACTS) Program - 8/06
#35 - The Supplemental Annuity Collective Trust Fund of New Jersey (SACT) (All Funds) - 5/09
#36 - Replaced by the Health Benefits Comparison Summary
#37 - Employee Dental Plans - 5/06
#38 - Alternate Benefit Program - 1/09
#39 - Disability Retirement Benefits (State Police Retirement System) - 8/09
#40 - Death Benefits (State Police Retirement System) - 7/07
#41 - Applying for Retirement (State Police Retirement System) - 8/09
#42 - Divorce, Dissolution of a Civil Union, and Your Retirement Benefits - 12/08
#43 - Back Pay Settlements and Retirement Credit - 2/09
#44 - Tax$ave - 9/08
#45 - Workers' Compensation (PERS, TPAF, PFRS & SPRS) - 2/09
#46 - LEO:Law Enforcement Officers and the Public Employees' Retirement System (PERS) - 9/05
#47 - Health Benefits Retired Coverage Under Chapter 330 (PFRS) (LEO) - 1/09
#48 - Family Status Changes - Employees (All Funds) - 8/07
#49 - Family Status Changes - Retirees (All Funds) - 4/07
#50 - Charter Schools (PERS & TPAF) - 1/05
#51 - Continuing Health Benefits Coverage for Over Age Children with Disabilities (SHBP) - 1/09
#52 - Retirement Incentive Programs - 1/01
#53 - Replaced by the PERS Handbook Addendum for the Legislative Retirement System (LRS)
#54 - Calculating Your Own Retirement - 6/07
#55 - Accidental Disability or Accidental Death Benefit Coverage for Off-Duty or Outside Employment (PFRS & PERS) - 6/08
#56 - Creditable Compensation (PFRS) - 7/07
#57 - Employment After Retirement (SPRS) - 1/09
#58 - Employer's Guide to Hiring Retired Government Employees (PERS, TPAF, PFRS & ABP) - 7/07
#59 - Discontinued - 1/12/06
#60 - Voluntary Furlough Program (All Funds) - 7/09
#61 - Planning for Your Survivors - Pension Options (JRS) - 7/07
#62 - Prosecutors Part (PERS) - 3/09
#63 - Replaced by the PERS Handbook Addendum for the Workers' Compensation Judges (WCJ) Part of the PERS
#64 - About Your Retirement Check (All Funds) - 1/09
#65 - Volunteer Emergency-Worker's Survivors Pension - 10/03
#66 - Health Benefits Coverage for Part-Time Employees - 10/09
#67 - Commuter Tax$ave Program - 12/07
#68 - Designating a Beneficiary - 7/07
#69 - SHBP Coverage for State Intermittent Employees - 10/08
#70 - Multi-State Agency Participation in the PERS (PERS) - 7/04
#71 - Benefits Under the Domestic Partnership Act - 8/09
#72 - Identity Theft and Your Benefits - 5/08
#73 - Retiree Dental Expense Plan - 9/09
#74 - Health Benefits Coverage of Children until Age 31 under Chapter 375 - 10/09
#75 - Civil Unions - 8/09
#76 - Honorable Service - 9/09
#77 - Pending
#78 - Requirements for Review of a Title for Participation in the PFRS - 10/07
#79 - Defined Contribution Retirement Program (DCRP) (PERS & TPAF) - 6/09
#80 - Defined Contribution Retirement Program (DCRP) (Elected and Appointed Officials) - 6/09
#81 - Pension Loans (PERS, TPAF, PFRS & ABP) - 10/08
#82 - Defined Contribution Retirement Program (DCRP) if Ineligible for PERS or TPAF (PERS & TPAF) - 5/09
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Copyright © State of New Jersey, 1996-2009
Division of Pensions and Benefits
PO Box 295
Trenton, NJ 08625-0295

All technical issues regarding this Web site should be sent to the Division of Pensions and Benefits Webmaster. Please do not submit pension or health benefits inquiries to the Webmaster.

Last Updated: November 2, 2009