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UA Statewide Employee Forms (Retirement & Pension)
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HR Employee Forms

Retirement & Pension Forms:

Form Name Available Formats
(Icon Legend)
Form Descriptions
PERS/TRS Forms External Site The State of Alaska Division of Retirement forms page.
Pension/ORP Fund Sponsor Enrollment or Change Form Adobe PDF format file To select fund sponsor(s) for UA Pension and/or employee and employer contributions for ORP.
PERS/TRS/ORP Option
Adobe PDF format file To certify the notification of participation in the PERS, TRS, or ORP retirement plan.
Retirement Plan Decision Tree
(Regular Faculty or Academic Executives)

Adobe PDF format file

Decision tree that assists with Retirement Plan Notification Form for regular faculty or academic executives.
Retirement Plan Decision Tree
(Regular Staff or Non-Academic Executives)
Adobe PDF format file Decision tree that assists with Retirement Plan Notification Form for regular staff or non-academic executives.
Retirement Plan Election Form
(TRS/PERS/ORP)
Adobe PDF format file To elect participation in TRS, PERS, or ORP based on the employee's retirement plan eligibility.

Retirement Plan Notification Form
(Regular Faculty or Academic Executives)

Adobe PDF format file To notify eligible regular faculty or academic executive employees of their retirement options and elections.

Retirement Plan Notification Form
(Regular Staff or Non-Academic Executives)

Adobe PDF format file To notify eligible regular staff or non-academic executive employees of their retirement options and elections.
TDA Salary Reduction Agreement Form Adobe PDF format file To establish or change contributions to a tax deferred annuity.
TIAA-CREF Online Enrollment Guide Adobe PDF format file TIAA-CREF enrollment instructions on opening a retirement account online.
TIAA-CREF
ORP Enrollment Form
Adobe PDF format file To select investment options for TIAA-CREF Optional Retirement Program (ORP).
TIAA-CREF Pension Plan Enrollment Form Adobe PDF format file To select investment options for TIAA-CREF Pension Plan.
TIAA-CREF
TDA Enrollment Form
Adobe PDF format file To select investment options for TIAA-CREF tax-deferred annuity (TDA).
TIAA-CREF Transfer/Rollover Authorization Form Adobe PDF format file To authorize the transfer/rollover of funds to TIAA-CREF annuities or Rollover IRA contracts.
Fidelity Beneficiary Designation Form Adobe PDF File Format To declare or change beneficiaries for the Fidelity Voluntary TDA, ORP, and Pension plans.
Fidelity Address/Name Change Form Adobe PDF File Format To change your address and/or name or provide your birthdate to Fidelity.
Fidelity Online Enrollment Guide Adobe PDF format file Fidelity enrollment instructions on opening a retirement account online.
Fidelity Transfer/Rollover Form Adobe PDF format file To move assets from another investment provider to a Fidlity retirement account or to consolidate multiple employer sponsored retirements accounts at Fidelity.
Fidelity Voluntary TDA, ORP, & Pension Plan Enrollment Form Adobe PDF format file To select investment options and beneficiary designation for the Fidelity Voluntary TDA, ORP, and Pension plans.

Mt. McKinley photo credit © Rex Melton, Alaska Division of Tourism; flower photo credit Nile Mueller; aurora photo credit Jan Curtis 2003
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