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New Jersey Division of Pensions and BenefitsEE06810713PO BOX 295 Trenton, NJ 086250295ENROLLMENT APPLICATION DO NOT WRITE IN THIS COLLOCATION NO.MEMBERSHIP NO.APPLICANT INFORMATION: (Please Print.

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How to fill out the Fillable PERS Enrollment Application online

Filling out the Fillable PERS Enrollment Application online is a straightforward process that requires careful attention to personal and employment details. This guide provides step-by-step instructions to assist users in completing the application accurately and efficiently.

Follow the steps to successfully fill out your PERS Enrollment Application

  1. Press the ‘Get Form’ button to retrieve the Fillable PERS Enrollment Application and open it in your preferred online form editor.
  2. Begin with Part 1 by entering your applicant information. This includes your full name, Social Security number, date of birth, gender, daytime phone number, and current mailing address.
  3. Answer the questions regarding your previous membership status and benefits. Indicate if you are a former member of PERS or TPAF and whether you are receiving benefits from any N.J. State-administered retirement system.
  4. Proceed to Part 2, where you will add employer information. Fill in the employer's name, your title or position, county, and relevant location, bureau, and payroll numbers. If applicable, indicate if you are employed by more than one public employer.
  5. If you are enrolling in TPAF, complete the additional fields regarding the start date of your employment and certification. For PERS applicants, include information about your employment status and role specifics.
  6. In Part 3, ensure the Employer Certification is completed. This requires signatures from both the certifying officer and their supervisor, along with their printed names and dates.
  7. Finally, review your application for accuracy. Once all sections are complete, you can save your changes, download, print, or share the completed application as needed.

Complete your PERS Enrollment Application online today for a smooth enrollment process.

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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.

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.

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.

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.

You must file for retirement online using the Member Benefits Online System (MBOS), available on the NJDPB website: .nj.gov/treasury/pensions This is an easy, secure, and accurate way to apply for retirement. Be sure to carefully read the instructions and the fact sheets about retirement prior to submission.

TPAF: K-12 certificated members such as teachers, guidance counselors, child study team, certified school nurses. PERS: Support staff such as custodians, maintenance, bus drivers, secretaries, aides, technology, and others at both K-12 and higher education levels.

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.

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