Emergency Request to Waive Refund Waiting Period Form 5W Revised 12/1/2013 Please print or type in black ink. Completed form should be mailed or faxed to PERS and must accompany Form 5, Member Refund.

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How to fill out the Form 5W: Emergency Request To Waive Refund Waiting Period online

Filling out the Form 5W is a critical step for users seeking to request an emergency waiver of the refund waiting period. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete your emergency request form.

  1. Click ‘Get Form’ button to access the form and open it in the editor.
  2. Fill in the member information section, including first name, middle initial, last name, gender, social security number, birth date, email, mailing address, city, state, zip code, and phone number. Be sure to use black ink or type your responses.
  3. In the reason for emergency request section, select one of the documented extraordinary emergencies from the provided options. Remember to attach the required documentation that supports your request.
  4. If your reason for the request is repossession, foreclosure, loss of personal property, or sudden illness, ensure you attach the relevant proof as specified for each situation.
  5. Complete the member certification section by reading the statement carefully, signing, and dating the form. Your signature affirms that the information provided is accurate and that you understand the conditions of the waiver request.
  6. Save your changes, and you can choose to download, print, or share the completed form as necessary. Ensure you follow any additional instructions regarding submission to the appropriate agency.

Take the next step in your request process by filling out Form 5W online today.

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How does pers work in Mississippi?

Public Employees' Retirement System of Mississippi (PERS): The employee's pre-tax contribution is 9.00% of gross wages and the University contribution is 17.40% of the employee's gross income. PERS is a defined benefits plan which entitles qualified employees to a guaranteed retirement benefit.

Public Employees' Retirement System of Mississippi (PERS): The employee's pre-tax contribution is 9.00% of gross wages and the University contribution is 17.40% of the employee's gross income. PERS is a defined benefits plan which entitles qualified employees to a guaranteed retirement benefit.

Your membership can only be terminated by withdrawing your contributions after you leave covered service or upon your death. You cannot receive loans, partial refunds, or hardship withdrawals of your contributions. However, upon termination from employment, you may apply for a full refund of your contributions.

Important information about PERS refunds PERS will issue your refund after final wages and contributions are posted to your account, which could take up to 90 calendar days from the date of their receipt.

We process complete refund election form packages in the order of receipt. You can typically expect to receive your refund within 30 to 45 days from the date we receive all your necessary forms.

A 10 percent federal tax penalty may apply to withdrawals prior to age 59 1/2. Because service credit is not a factor in determining your retirement benefit, no credit is available for military service, unused leave, professional leave, or out-of-state employment.

Request Your Contribution Balance You may request a balance of your account by contacting PERS Customer Service. You may call in your request at 800-444-7377 or 6601-359-3589, or you may fax your request to 601-359-6707 with the following information: Name.

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