Enrollment

• DCP Election by Appointed Public Official

  Use this form for employees appointed (hired) to perform governmental functions of a public officer. If the position is elected or appointed…

• Membership Election by a City Manager

  Use this form for city managers who first began employment with a city.

• Membership Election by a Governmental Physician

  Physicians working at a governmental institution must participate in the Coordinated plan, unless the physician opts, within 30 days, to participate in…

• Notice of Member Enrollment

  Complete this form to enroll an employee whose coverage under the Coordinated, Correctional, Police and Fire or Basic plan is required.

  This form…

• Membership Election by Public Officials

  Use this form for elected public officials, appointees filling an unfinished term of an elected position, or members of a board or…

• Correctional Officer Certification

  This form is used to certify the eligibility of an employee for PERA’s Local Correctional Employees Retirement Plan.

  May only be used by…

• DCP Election by Certain Ambulance, Rescue, or Volunteer Firefighter Positions

  Use this form for individuals who meet the eligibility requirements of PERA’s Defined Contribution Plan (DCP).