Follow the steps to successfully complete your refund application.

1. Use the ‘Get Form’ button to access the Defined Benefit Refund Application form and open it in your preferred online editor.
2. Begin with the member information section by providing your last name, first name, middle initial, Social Security number, date of birth, employing agency, and mailing address. Ensure all fields are filled accurately for identification purposes.
3. Select the appropriate retirement system from the options provided such as PERS, HPORS, or others applicable to your situation.
4. Confirm that you have read the IRS special tax notice regarding your withdrawal and understand the available options. This acknowledgment is necessary for processing your application.
5. Attach your signature and the date signed in the member signature section. Your application cannot be processed without this confirmation.
6. If choosing the direct deposit option, ensure a voided check or an Electronic Funds Transfer (EFT) form is attached, along with accurate routing and account numbers.
7. For direct rollovers, ensure that your financial institution or plan administrator has signed the form, and your signature is witnessed by an authorized notary or MPERA staff member.
8. Complete the withdrawal options section by clearly identifying your choice: direct rollover, lump-sum payment of taxed contributions, or a combined option. If opting for a lump-sum payment, indicate how you would like to receive it, whether by direct deposit or check.
9. Review the form thoroughly to ensure all areas are filled out correctly before submission. Incomplete forms will delay the processing of your refund.
10. Save your completed form, then download, print, or share it as needed to ensure it reaches MPERA for processing.

Begin filling out your Defined Benefit Refund Application online today for a smooth refund process.