Forms
Enroll in the plan
Enrollment forms
Print the form
Additional investment options to supplement your retirement plan
Money management forms
From other retirement plans
Distributions for beneficiaries
Designate a beneficiary
Guidance for you and your attorney
Distributions for alternate payees
Review this form for information regarding special tax information for plan payments
To provide federal tax withholding direction for all withdrawal requests except systematic distributions lasting more than 10 years
Post Employment Health Plan (PEHP) claim reimbursement
A new way to submit a claim
If you're enrolled in PEHP and eligible for distributions, you can now submit claims online. Log into your account, select "Manage account", then "Request reimbursement".
Submit a claim onlineTraditionally submit a claim
Submit a claim by downloading and printing the form.
Download and print the formNot finding what you’re looking for?
Log in to access additional forms.