Get Application For Separation-from-service Benefit

Completing the Application for Separation-From-Service Benefit online can be a straightforward process when approached step by step. This guide provides clear instructions to help you fill out the form accurately and efficiently.

Follow the steps to successfully complete your benefit application.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Fill out your personal information in the section designated for the member. Include your name, PERAA ID number, mailing address, and contact details such as your email address and phone number.
3. Provide your date of birth and age accurately. Make sure to double-check these entries for accuracy.
4. Indicate the effective date of your resignation and the month of your last contribution to the fund.
5. List the name and address of your most recent employer or institution in the designated section.
6. Choose the payment method for your benefit check: deposited to your account, mailed to your school, or picked up by a school representative. Fill out the relevant details for bank account deposits.
7. Select the type of benefit you are applying for by ticking the appropriate box, either for repurchase benefit or separation-from-service benefit.
8. Sign and date the form in the appropriate fields. Ensure your signature matches the one on your identification documents.
9. Gather all required documentation as listed in the checklist. This includes a certificate of employment, release and quit claim, and valid identification cards.
10. Submit the completed application form along with the required documents to your employer for their signature.
11. Once signed by your employer, submit the application to PERAA along with the necessary accompanying documents.
12. If a representative will claim the check on your behalf, make sure to include a Special Power of Attorney.
13. Lastly, save any changes you have made to the form, and if needed, download, print, or share the completed application as required.

Start filling out your application online today to ensure a smooth processing of your benefits.