Public Employees Retirement System (PERS) Forms

• Authorization to Release Information
• Benefit Estimate Request
• Combined Medical Power of Attorney & Living Will (legal size)
• Confidential Records Order
• Less Than Honorable Service
• Living Will (legal size)
• Medical Power of Attorney (legal size)
• Membership Enrollment
• National Guard Military Service Request
• Online Self-Service Get Started Guide
• PERS Insurable Interest Affidavit
• Pre-retirement Beneficiary Designation
• Purchase Out of State Service
• Qualified Domestic Relations Order (QDRO)
• Request for Disability Packet
• Request to Purchase Permissive Service Credit (Rollover)
• PSOA-2025 Authorization for Premium Deduction
• ICA – Insurance Carrier Authorization
• WV Statutory Power of Attorney