For members of the Michigan State Police Retirement System
   
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Forms

 

 

 

Name and Address Change
(R0357X)

Eligibile Domestic Relations Order (EDRO) - Instructions (R0911X)

Eligibile Domestic Relations Order (EDRO) (R0259X)

Withholding Certificate for Michigan
Pension or Annuity Payments

Qualified Plan-to-Plan Transfer Certification (R0158X)

Intervening Military Service Credit Application (R0717H)

 

 

Address Change

Direct Deposit Agreement

Unforeseeable Emergency Withdrawal Request (Instructions & Application)

401(k) Plan Financial Hardship Withdrawal Request

Designation of Beneficiary

Beneficiary Payout Request

457 Rollover Contribution Form

401(k) Rollover Contribution Form

Roth 401(k) Rollover Contribution Form

Minimum Annual Distribution Worksheet

Tax Withholding Form

QDRO Language

     
To discuss your payout options upon separation from service or retirement, please call the
Plan Information Line at 1-800-748-6128. Participant Services Representatives (PSRs) are available
8:00 AM to 8:00 PM Eastern Time (ET), Monday through Friday (except on New York Stock Exchange holidays).

 

 
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