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Alaska Department of Administration, Retirement and Benefits

Department of Administration

Division of Retirement and Benefits

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Administration > Division of Retirement and Benefits > Retirement > PERS > Employee > Resources > Retirement Application
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PERS Retirement Application Forms/Instructions

  • PERS Retirement Application Instructions [PDF 600K]
  • PERS Retirement Application [PDF 148K]

Brochures

  • Alaska Cost-of-Living Allowance
  • Social Security, Medicare and Your PERS Retirement Benefit [PDF 178K]

Forms

  • Same-Sex Partner Supplement (Tier I) [PDF 231K]
  • Same-Sex Partner Supplement (Tier II) [PDF 227K]
  • Withholding Certificate for Pension or Annuity Payments (IRS form W-4P) Exit this site [PDF]

Inserts

  • Insurance Benefits Insert (retirees hired before 7/1/86) [PDF 51K]
  • Insurance Benefits Insert (retirees hired after 6/30/86) [PDF 57K]
  • Long-Term Care Handbook (silver, gold, platinum option) [PDF 122K]

Premiums

  • Retiree Health Premiums
  • Retiree Select Life Insurance Premiums


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Division of Retirement and Benefits
6th Floor State Office Building, P.O. Box 110203, Juneau, AK 99811-0203
Fax: (907) 465-3086 • TDD: (907) 465-2805 • Telephone: (907) 465-4460 • Toll-Free: (800) 821-2251
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