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Forms

Forms

NHRS members, retirees and employers may download and print a variety of frequently used forms.

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.

Note: Please download and save a copy of the form to your computer, then enter your information into the copy. Some web browsers will not save information entered in the browser and you could lose your work.

Return completed forms to the New Hampshire Retirement System:

Mail or drop off – NHRS, 54 Regional Drive, Concord, NH 03301
Secure Document Upload via My Account 2.0.
Secure Email through the NHRS Secure Message Center, a free, easy-to-use email encryption application – click here to access. Additional instructions are available here.
Fax – (603) 410-3501

Member Forms

Below you will find retirement application materials and other common member forms, arranged by topic.

Note: If you are a My Account user, you can access and submit the following forms with the click of a button when you are logged onto My Account: Personal Information Change Form, Estimate Card, Designation of Death Beneficiary(ies) Pre-Retirement form, and Previously Withdrawn Service Purchase form.

You can also upload all forms through the Secure Document Upload feature on My Account.

If you aren't a My Account user, no worries. Click here to learn how to get connected.

Retirement Application Packet for Service/Vested Deferred Retirement

The forms listed below must be completed and submitted to NHRS to apply for retirement. All required forms/copies must be submitted at least 30, but not more than 90 days prior to the effective date of retirement, which is always the first of the month.

Click here for a complete Group I (Employee and Teacher) application packet

Click here for a complete Group II (Police and Fire) application packet

See links below to download and print individual forms from the application packets

Retirement Checklist
Group I (Employee and Teacher) Application
Group II (Police and Fire) Application
Mandatory Acknowledgement / Certification Form
Form W-9
Form W4-P
Electronic Direct Deposit Form
Working After Retirement Acknowledgement and Affirmation Form
State Employee Health Insurance Pre-Application Form
Additional Contribution Payment Election Form

Instructional videos:
How to File for Retirement (general overview)
How to Fill Out a Group I Application Packet
How to Fill Out a Group II Application Packet

Note: Members may also apply for retirement directly through My Account, the retirement system's secure online member portal. Click here to access your My Account.

All Other Member Forms

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

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
PreSelection Before Retirement Form

Refund Packet
Member's Request for a Trustee-to-Trustee Transfer
Special Tax Notice Regarding Rollover Options
Payment Option Instruction Checklist
Refund Application
Request for Taxpayer Identification Number and Certification (W-9)

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
Nonqualified Group II Service

Miscellaneous Member Forms
Personal Information Change Form
Mandatory Acknowledgement/Certification Form
Estimate Card
- How to Fill Out an Estimate Card (3:53) - Recorded Instructional Presentation
- How to Fill Out an Estimate Card - Written instructions on how to complete the estimate request form

Retiree Forms

Below you will find common retiree forms, arranged by topic.

Note: If you are a My Account user, you can access and submit the following forms with the click of a button when you are logged onto My Account: Personal Information Change Form, Electronic Direct Deposit.

You can also upload all forms through the Secure Document Upload feature on My Account.

If you aren't a My Account user, no worries. Click here to learn how to get connected.

Changing Personal Information
Personal Information Change Form

Change Tax Withholding
Form W4-P

Designation of Beneficiary Forms
Change of Death Beneficiary(ies) (Post-Retirement)
Death Benefits Designation of a Trust as Beneficiary
Post-Retirement Beneficiary Renunciation of Survivorship Pension
Termination of Benefit Option Form - Non-Spouse
Termination of Benefit Option - Divorce
Post-Retirement Spouse Survivorship Option Change

Electronic Direct Deposit
Election for Electronic Direct Deposit

Employer Forms

Below you will find common Employer forms, arranged by topic.

Additional Contributions
Additional Contributions Reporting

Authorization to Deduct Insurance Premiums from a Pension
Annuity Deduction Authorization - State of New Hampshire
Annuity Deduction Authorization - Political Subdivision

Data Reporting System (DRS)
DRS User Access Form

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

Employers Notices/Certifications of Termination
Notice of Termination for Employees, Police Officers, and Firefighters Not Vested Prior to 1/1/2012
How to Fill out a Termination Form: Employees, Police Officers, and Firefighters Not Vested Prior to 1/1/2012
How to Fill Out a Termination Form: Employees, Police Officers, and Firefighters Not Vested Prior to 1/1/2012 (2:54) - Recorded Instructional Presentation

Notice of Termination for Employees, Police Officers, and Firefighters Vested Prior to 1/1/2012
How to Fill out a Termination Form: Employees, Police Officers, and Firefighters Vested Prior to 1/1/2012
How to Fill Out a Termination Form: Employees, Police Officers, and Firefighters Vested Prior to 1/1/2012 (5:11) - Recorded Instructional Presentation

Notice of Termination for Teachers and Post-Secondary Faculty Not Vested Prior to 1/1/2012
How to Fill out a Termination Form: Teachers and Post-Secondary Faculty Not Vested Prior to 1/1/2012
How to Fill Out a Termination Form: Teachers and Post-Secondary Faculty Not Vested Prior to 1/1/2012 (2:54) - Recorded Instructional Presentation

Notice of Termination for Teachers and Post-Secondary Faculty Vested Prior to 1/1/2012
How to Fill out a Termination Form: Teachers and Post-Secondary Faculty Vested Prior to 1/1/2012
How to Fill Out a Termination Form: Teachers and Post-Secondary Faculty Vested Prior to 1/1/2012 (4:07) - Recorded Instructional Presentation

Employer Certification of Unused Accrued Credit as of June 30, 1991 for services rendered prior to June 30, 1991
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