Get Ers Enrollment Member Information Record - Rsa-al

Filling out the ERS Enrollment Member Information Record is an important step in managing your retirement benefits. This guide will provide you with clear instructions on completing the form accurately and efficiently online.

Follow the steps to complete your enrollment form online

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter your personal information. This includes your name (first, middle/maiden, and last), address (street or P.O. Box, city, state, ZIP code), daytime telephone number, email address, date of birth, and sex. Please refrain from using initials.
3. Indicate your status by checking the appropriate box: new member or transfer from another ERS agency. Additionally, select your marital status by checking one of the following: married, single, widowed, or divorced.
4. Provide information about your employer. Write the employing agency, section or division, classification or title of position or elected office, daytime telephone number, and email address.
5. Answer the employment history questions. Indicate if you are an elected official or have ever been employed by any agency of public education in Alabama. Also, reveal if you have previously been a member of the Employees’ Retirement System of Alabama and if you were a member before starting your current employment.
6. If you answered 'yes' to any of the previous questions, provide additional details regarding your most recent employment, including the employing agency, city, year, name you worked under, and termination date.
7. Sign the form where indicated with your signature and date. This acknowledges that all provided information is true.
8. Complete the employer certification section. This includes entering the employing agency, annual salary, employment date, number of pay periods per year, and employment status.
9. The employer must sign and date the certification section to validate the information.
10. Provide your beneficiary information. Designate primary beneficiaries and contingent beneficiaries. For each, include their name, relationship to you, date of birth, and contact address.
11. Read the signature certification and provide your signature along with the date. Ensure your signature is notarized.
12. Once all sections are complete, review the form for accuracy. You can then save changes, download, print, or share the completed form.

Complete your ERS Enrollment Member Information Record online today.