Forms Download:

Below are some of the GERS Booklets and Forms. To download a form to view on screen, simply click its title. To save the form to your computer (to print out for completion later), right-click on the title and choose save (save target as or save as) from the menu that appears.

To view the forms, you must have Adobe’s Acrobat Reader installed. If you do not have it, you will not see the form in the new window after clicking.  You can install the reader by clicking on the link to the right.

Complete Group I Summary Plan Description Booklet

Complete Group II Summary Plan Description Booklet

City Ordinance Code, General Employees’ Retirement System

Active Member Beneficiary Forms
(these forms are to be only used by members who are currently employed and contributing to the Plan)
On-the-Job Death Benefit Form
Off-the-Job Death Benefit Form

Vested Member Beneficiary Form
(this form is to be only used by members who have terminated employment and elected to leave their funds in the Plan for a future retirement benefit)
Vested beneficiary form

Request for Disability Pension Forms (* = required)
Disability Checklist
Disability Benefit Application Form *
Doctor's Statement of Disability *
Medical Release Form *
Social Security Release Form *

Forms for Retirees and Beneficiaries
Send the following forms to the Pension Office and we will relay them to Payroll.
Change of Address Form

Direct Deposit Authorization Form (2 pages)
2017 W-4P Income Tax Withholding


Our forms are saved as PDF files. If you should have trouble opening them, you may need to install the latest Adobe Acrobat Reader.

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