NHRS





Member Forms

Additional Contributions
Additional Contribution Payment Election Form
Member Request to Update Voluntary Additional Contributions Calculation
Voluntary Additional Contributions Submitted by Member

Benefit Estimate Worksheets
Group I Service Retirement Worksheet
Group II Service Retirement Worksheet (For members vested prior to January 1, 2012)
Group II Service Retirement Worksheet (For members not vested prior to January 1, 2012, or hired on or after July 1, 2011)

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

Pre-Selection of a Survivorship Option
Pre-Selection Before Service Retirement

Refund Packet
Member's Request for a Trustee-to-Trustee Transfer
NHRS Special Tax Notice Regarding Your Rollover Options
Payment Option Instruction Checklist
Refund Application
Request for Taxpayer Identification Number and Certification

Request for Calculation of Service Credit Purchase
Employer Enrollment Oversight
Military Service Prior to Joining NHRS
Modifications (Service before the Employer joined NHRS)
Previously Withdrawn Service
Non-Permanent, Probationary, or Temporary
Peace Corps/AmeriCorps Service

Special Member Services Forms
Personal Information Change Form
Estimate Card
Mandatory Acknowledgement/Certification

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.

Employer Forms

Retirees Forms





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