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Forms
Downloadable PDF forms
In the links below are the forms most commonly used by members and employers to request a service from KCERA. An incomplete form will delay your request, so please follow instructions carefully before submitting the document(s) to KCERA.
To download the forms: Right click the link of the form you need and choose “Save Link As”. That will download the form onto your computer where you can use Adobe Acrobat to complete the form.
(To view the documents on this webpage, you will need Adobe Acrobat Reader installed on your computer. If you do not have the most recent version, you can download it for free by clicking here.)
Member Forms
Address/ Email Change Request FormAuthorization for Release of Member InformationBeneficiary Designation-Member FormBeneficiary Designation- Survivor FormBeneficiary Designation - Alternate Payee FormCertification of Prior County/District ServiceCertification of Prior Public ServiceCertification of Prior Public Service - MilitaryDirect Deposit Change Request FormDisposition PacketDRO SampleEnd-Of-Life Essential InformationName Change Request FormPrior County-District Service Form with FAQPrior Public Service Form with FAQPrior Public Service Form W/Military with FAQPower of Attorney PacketPurchase of Service - FAQRetirement Application Packet 2026
Tax Withholding Forms
Tax Withholding Instructions2026 Federal Tax Withholding Form fw4p2026 State Tax Withholding Form de4p
