Public Employees Retirement System Tier II (PERS – TIER II) Forms
- Authorization to Release Information (opens in new window) (PDF document)
- Benefit Estimate Request (opens in new window) (PDF document)
- Combined Medical Power of Attorney & Living Will (opens in new window) (PDF document) (legal size)
- Confidential Records Order (opens in new window) (PDF document)
- Less Than Honorable Service (opens in new window) (PDF document)
- Living Will (opens in new window) (PDF document) (legal size)
- Medical Power of Attorney (opens in new window) (PDF document) (legal size)
- Membership Enrollment (opens in new window) (PDF document)
- National Guard Military Service Request (opens in new window) (PDF document)
- Online Self-Service Get Started Guide (opens in new window) (PDF document)
- PERS Insurable Interest Affidavit (opens in new window) (PDF document)
- Pre-retirement Beneficiary Designation (opens in new window) (PDF document)
- Purchase Out of State Service (opens in new window) (PDF document)
- Qualified Domestic Relations Order (QDRO) (opens in new window) (PDF document)
- Request for Disability Packet (opens in new window) (PDF document)
- Request to Purchase Permissive Service Credit (Rollover) (opens in new window) (PDF document)
- Request to Purchase Military Service Credit (opens in new window) (PDF document)
- State of West Virginia Statutory Form Power of Attorney (opens in new window) (PDF document)