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Home  General Information  Account Online  General Plan  Correctional Plan  Unclassified Plan  State Patrol Plan  Health Care (HCSP)  Judges' Retirement Plan  Deferred Compensation  Other Plans  Online Forms       Last Updated: 12/26/2012	Home >> Forms & Brochures    Forms & Brochures   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 Designation Disability Applications Health Care Savings Plan Employer Enrollment (HCSP/MNDCP)   Minnesota Deferred Compensation Plan (MNDCP) Unclassified Plan Divorce Board Election Other Documents        Retirement Applications:  How To Apply For Retirement Benefits Download  How to Prepare for Retirement Download  General Plan Download  Correctional Plan Download  Judges Plan Download  State Patrol Plan Download  Unclassified Plan Download  Legislators Plan Download  Direct Deposit Download  Tax Withholding & Information Download  Federal and State Income Tax Information Download    Beneficiary Designation and Spousal Waiver:  General, Correctional, Unclassified, Pilots, Military Affairs, and Fire Marshals Plans Download  State Patrol, Judges, Legislators, and Elective Officers Plans Download  Spousal Waiver (General, Correctional and Unclassified Plans) Download  Health Care Savings Plan Download  Minnesota Deferred Compensation Plan (MNDCP) Download    Disability Applications:  Disability Process and Benefit General Plan Coming soon  Disability Process and Benefit Correctional Plan Download  Disability Process and Benefit State Patrol Plan Download  Application General Plan Download  Application Correctional Plan Download  Application State Patrol Plan Download  Physicians Statement General Plan Download  Physicians Statement Correctional Plan Download  Physicians Statement State Patrol Plan Download  Certification form General Plan Download  Certification form Correctional and State Patrol Plans Download    Health Care Savings Plan:  HCSP at a Glance Brochure Download  Reimbursement Request Form Download  Beneficiary Designation Download  Direct Deposit Download  Eligible Expenses Download  Reimbursement Suspension Election 2013 Download  Annual Notice 2013 Download   Employer Enrollment (HCSP/MNDCP):  Employer Contact Information Form (HCSP/MNDCP) Download*  HCSP Contract Approval/Renewal Download*  ACH Debit Authorization Form Download  Sample HCSP Contract Language Download  Request For Taxpayer Identification Number Download   * This form contains electronic input fields. Please fill in the fields then print the document. If completing the Employer Contract Information form, be sure to sign and date. Mail or fax the form to MSRS along with any required supporting documents. You can also choose to print the document and fill it out by hand.    Unclassified Plan:  Transfer Prior Service to Unclassified Plan Download  Retirement Application Download  Beneficiary Designation and Spousal Waiver Download  Election To Be Covered By General Plan - 10 year service Download  Election To Be Covered By General Plan - Hired after June 30, 2010 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    Divorce:  MSRS Divorce Information Download  MSRS Domestic Relations Order Sample Language Download  MSRS Unclassified Plan Domestic Relations Order Sample Language Download  HCSP Divorce Information Download  HCSP Domestic Relations Order Sample Language Download  MNDCP Divorce Information Download  MNDCP Domestic Relations Order Sample Language Download  Revocation of Survivor Download    Board Elections:  General and Unclassified Election Packet Download  Retiree Election Packet Download  Correctional Election Packet Download    Other Documents:  Our Comprehensive Annual Financial Reports have been moved to our new Financial Information Page.  Online Plan Handbooks Retirement Plans Handbooks.
	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: info@msrs.us Please do not include confidential information, such as social security numbers, in email correspondence with MSRS. An Equal Opportunity Employer