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  Last Updated: 10/09/2009
 
   Forms
  All forms are in Adobe Acrobat format and are fully compatible with Adobe's accessibility tools. You can download Acrobat for free at http://www.adobe.com/products/acrobat/readstep.html or use the online conversion tool available at http://access.adobe.com/acrobatmain.html to view any of these files.
  Click on the Image to download free Acrobat Reader
  Retirement Applications
Beneficiary Forms
Disability Applications
Health Care Savings Plan
HCSP Employer Information
 
Minnesota Deferred Compensation Plan (MNDCP):
Unclassified Plan
Board Election
Other Documents
 
 
 
 Retirement Applications:
 How To Apply For Retirement Benefits Download
 General Plan Download
 Correctional Plan Download
 Judges Plan Download
 State Patrol Plan Download
 Unclassified Plan Download
 Direct Deposit Download
 Tax Withholding Download
 Tax Information for Withholding Certificate Download
 Federal and State Income Tax Information Download
 
 Beneficiary Forms:
 General, Correctional, Unclassified, Pilots, Military Affairs, and Fire Marshals Plans Download
 State Patrol, Judges, Legislators, and Elective Officers Plans Download
 Form 352.12 - Spousal Waiver Download
 Health Care Savings Plan Download
 Minnesota Deferred Compensation Plan (MNDCP) Download
 
 Disability Applications:
 Application (General Plan) Download
 Application (Correctional Plan) Download
 Application (State Patrol Plan) Download
 Physicians Statement Download
 Physicians Statement (State Patrol & Correctional Plans) Download
 Certification form for General, Judges, Legislators, Unclassified, Pilots,
  Military Affairs, and Fire Marshals Plans
Download
 Certification form for Correctional and State Patrol Plans Download
 
 Health Care Savings Plan:
 HCSP at a Glance Brochure Download
 Reimbursement Claim Form Download
 Beneficiary Designation Download
 Direct Deposit Download
 Eligible Expenses (IRS Pub. 502 - IRS Web Site) Download
 Reimbursement Suspension Election Download
 
 HCSP Employer Enrollment:
 HCSP at a Glance Brochure Download
 Employer Enrollment Form Download
 Employer Instruction Download
 ACH Debit Authorization Form Download
 Sample Contract Language Download
 Request For Taxpayer Identification Number Download
 
 Unclassified Plan:
 Transfer Prior Service to Unclassified Plan Download
 Retirement Application Download
 Beneficiary Designation Download
 Election To Be Covered By General Plan - 10 year service Download
 Election To Be Covered By General Plan - current appointment Download
 
 Minnesota Deferred Compensation Plan (MNDCP):
 Participant Enrollment Agreement Download
 Beneficiary Designation Download
 Personal Information Change Download
 Incoming Direct Rollover Download
 Direct Deposit Agreement Download
 TD Ameritrade Enrollment Download
 
 Board Elections:
 Board Election General Information Download
 Board Election Letter Download
 Board Election Nominating Petition General and Unclassified Download
 Board Election Nominating Petition State Patrol Download
 Board Election Biographical Sketch - Both Plans Download
 
 Other Documents:
 MSRS Divorce Information Download
 MSRS Suggested Sample Language to a Domestic Relations Order Download
 HCSP Divorce Information Download
 HCSP Suggested Sample Language to a Domestic Relations Order Download
 
 Our Comprehensive Annual Financial Reports have been moved to our new Financial Information Page.
 Online Plan Handbooks Retirement Plans Handbooks.
   
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Minnesota State Retirement System
60 Empire Drive, Suite 300, St. Paul, MN 55103-3000
Telephone: (651) 296-2761, Toll Free: (800) 657-5757, Fax: (651) 297-5238
E-Mail: msrs@state.mn.us
An Equal Opportunity Employer
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