• Agency Resolution to Join EMSRS
• Application for Refund of Accumulated Contributions
• Authorization to Release Information
• Benefit Estimate Request
• Confidential Records Order
• Employee of the Month Nomination Form
• Eligibility Requirements (Employers/Employees)
• Membership Enrollment (Hired after January 1, 2008)
• Monthly Payroll Report Coversheet
• Pre-Retirement Beneficiary Designation
• Qualified Domestic Relations Order (QDRO)
• Request for Change of Address (Non-Retirees only)
• Change of Name

  
  

 

Emergency Medical Services Retirement System
Forms