New Employee Packet

Listed below are the necessary forms for enrolling a new employee into the retirement system, along with informational brochures. This information is intended to be given to your new hires at the time you provide other materials to them, such as withholding tax forms, and other benefit information.

Required Forms

Enrollment Form (Completed by Employer and Member)

Designation Of Death Beneficiary(ies) (Pre-Retirement)
OR Death Benefits Designation of a Trust as Beneficiary

Summary of Benefits

Group I (Employee and Teacher) Member Benefits for members hired on or after July 1, 2011

Group II (Police and Fire) Member Benefits for members hired on or after July 1, 2011

NHRS Fact Sheet -A quick guide to the NHRS for Members, Retirees, Employers, and Lawmakers

Beneficiary Information

Pre-Retirement Death Benefits

Employer Forms

Additional Contributions
Cover Page (Summary Report)
Reporting Form by Individual Employee

Authorization to Deduct Insurance Premiums from a Pension
Employer Application for Retiree Insurance Premium Deduction Remittance
One Retiree - Health Insurance Deduction
Two Retirees - Health Insurance Deduction - One Health Plan
Two Retirees - Health Insurance Deduction - Two Health Plans

Electronic Direct Deposit (EDD)
Electronic Direct Deposit (EDD) For Insurance Deductions/Subsidy Vendor Payroll

Employee Enrollment
Enrollment Form
Participating School District Election For Paraprofessional or Support Staff
Report of Call, Volunteer or Substitute Firefighters (Report of Firefighters)

Employers Notices/Certifications of Termination
Employer's Notice of Termination For Employees, Police Officers, and Firefighters
Employer's Notice of Termination for Employees, Police Officers, and Firefighters Vested by 12/31/2011
Employer's Notice of Termination For Teachers and Post-Secondary Faculty
Employer's Notice of Termination for Teachers and Post-Secondary Faculty Vested by 12/31/2011
Employer Certification of Unused Accrued Credit as of June 30, 1991 for services rendered prior to June 30, 1991
Employer Certification of Credits Earned and Used After June 30, 1991 For Retirement Benefit Calculation Purposes

Employer Enrollment
Election to Participate

Employers Tax Sheltering Election
Tax Sheltering Election Form

Salary Continuance Reporting
Salary Continuance

Submit completed forms to the New Hampshire Retirement System office by mail: 54 Regional Drive, Concord, NH 03301, by fax (603) 410-3501, or by email info@nhrs.org

Note: A signature is required for most forms; some forms may also require notarization. NHRS is unable to accept electronic signatures. All forms must be printed then signed.

Member Forms

Retiree Forms