Employees Retirement System

Official Website: https://www.ers.texas.gov/

Forms & Documents

Browse all Employees Retirement System government forms

1 - 20 of 33 forms

Form Title Topics
Automatic_Withdrawal_Cancelation_Ins_Premiums_2945
Automatic Withdrawal Cancellation of Insurance Premiums
Certification Credit of Annual Leave and Sick Leave - 2351
Choose to Quit Certification Form
Dependent Child Certification
Dependent_Child_Certification-1081
Disability Retirement Packet
FMLA and LWP Payments - 2885
HIPAA Notice of Privacy Practices (Long Form)
HIPAA Summary Notice of Privacy Practices (Short Form)
Medical Support Order - NMSN Requirements and Forms
Medicare and Your State Health Insurance
Notice of Creditable Coverage
Prior 457 Deferred Compensation Plan - Distribution Agreement - ERS DC 10.03
Prior 457 Deferred Compensation Plan One-time Distribution Election Form.
Prior 457 Deferred Compensation Plan Unforeseeable Emergency Withdrawal
Prior 457 Funds Transfer form.
QDRO_model
Qualified Medical Child Support Order (QMCSO) Dependent Address Form - 1209
Request or Renew Health Coverage for a Disabled Dependent Child

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