Forms Download

Welcome to the NPERS Forms Download page. Downloading and printing forms from this web site ensures you are using the most up-to-date version of the form.

All forms are in the Adobe Acrobat format. NPERS recommends using the Adobe Reader to properly view them. 3rd party viewers or web browser viewers may not properly view or print data from fillable fields. Download it here if you do not already have it.

NOTE: ENHANCED FORMS

Most of NPERS forms contain fillable fields allowing users the option to:
  1. Enter information using their computer.
  2. Print, sign, date, and notarize (if needed).
  3. Then submit to our office.
    Note: DCP forms must be submitted to your human resources or payroll department.
The Enhanced Form label indicates that a form has fillable fields.

Member Forms


Beneficiary Designation
Enhanced Form
To designate or change your beneficiaries, complete this form, sign in front of a notary, and submit to NPERS.
Federal & Nebraska Tax Withholding - Pension
Enhanced Form
Retired plan members who are receiving a monthly retirement benefit (annuity) may use this form to change their income tax withholding. For more information on Federal withholding, please visit the IRS Website
Direct Deposit
Enhanced Form
Plan members who are receiving a monthly retirement benefit may wish to have payments deposited directly into a designated bank account. Use this form to set up a new account or change an existing account. For a walkthrough of how to complete the Direct Deposit form click HERE.
Investment Election Form (Defined Contribution only)
Enhanced Form
State and County members can submit this form to change future investment allocations or transfer existing funds.
Investment Election Form (DROP participants only)
Enhanced Form
State Patrol DROP members can submit this form to change future investment allocations or transfer existing funds.
DCP Plan Change
Enhanced Form
Members participating in the Deferred Compensation Plan use this form to change contribution amounts, investment allocations, or transfer funds. NOTE! The completed form must be submitted to your agency payroll personnel for processing.
DCP Enrollment Form
Enhanced Form
Members who wish to enroll in the Deferred Compensation Plan should complete this form and submit to your agency payroll personnel for processing.
Application for Vesting Credit
Enhanced Form
For plan members who are requesting vesting credit for prior participation in a Nebraska Governmental Plan.
Rollover to Financial Institution
Enhanced Form
This form is required in order for NPERS to process a rollover. NPERS cannot process a rollover until we are in receipt of a completed, signed and notarized, Request for Distribution or Refund form.
School Refund Application
Enhanced Form
School plan members submit this form to request distribution of their account. Refunds or rollovers will remove your service credit and do not include the employer contributions. For a walkthrough of how to complete the School Refund Application click HERE
Address & Name Change Form
Enhanced Form
Terminated members can submit this form to update their address, or notify our office of name changes. If you are actively employed by the Nebraska School, State, County, Judges or State Patrol, these demographic changes must be submitted to your employer.
Patrol Member - Verification of Service Request
Enhanced Form
Patrol plan members may submit this form to NPERS to request a tentative verification of service from NPERS up to one year but no less than 180 days prior to retirement or entering DROP.

Employer Forms