Important Note: Photo ID required for most forms

Be advised that using the forms below, you may be required to provide a copy of your photo ID along with the form.

• For forms with an asterisk (*), for faster service you can use your ERSGA secure online account and will not be required to provide photo ID.
• Read the instructions carefully to ensure the correct photo ID is provided when submitting the form.
• Important! Photo ID copy must be clear and legible. ERSGA must be able to read the ID number, name, date of birth, and expiration date on the submitted copy of your photo ID.
• If a photo ID is not provided or is illegible or expired, the form will not be processed.
• Only submit a copy of your photo ID. Do not send an original photo ID.

Active Members

You can use your ERSGA online account to update your beneficiaries and generate benefit estimates.  Using your online account is fast, easy, and secure!

Active Member Change of Beneficiary Form*

*Use your ERSGA online account for faster service.

Retirees

Federal Income Tax Form W-4P
State Income Tax Form G-4P
Retiree or Inactive Change of Address Form*
Retiree Pension Direct Deposit Form*

Inactive or Terminated Members

You can use your ERSGA online account to update your home address, make changes to your beneficiary designations, or to request a refund of your contributions and interest.  Using your online account is fast, easy, and secure!

Requesting a Refund

If you are not able to apply for a refund online, please contact ERSGA for assistance.  Our contact information can be found by selecting Contact under the About menu.  You can call and speak to a customer care representative, or click Contact the Customer Care Group link on the right side of the Contact page. 

Special Tax Notice – Safe Harbor (if you are eligible to roll over the interest portion of your refund)*
Retiree or Inactive Change of Address Form*
Active Member Change of Beneficiary Form*

*Use your ERSGA online account for faster service.