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Forms

Important Note: TMRS forms require a signature and cannot be submitted electronically. Click on the form you want from the list below and fill it out on your computer. Then print out the form, sign it, and mail OR fax (not both) the hardcopy to TMRS. If you print the form out and fill it in by hand, please type or use black ink. Also, please do not use highlighter on forms. You will need Adobe Acrobat Reader to read our forms.

Most Commonly Used TMRS Forms

  1. New Member Enrollment (TMRS-0016)
  2. Address or Name Change Form (TMRS-CHNG)
  3. TMRS Change of Beneficiary for Vested Members (TMRS-007V)
  4. Application for Restricted Prior Service Credit (TMRS-35R)
  5. Service Retirement Packet (TMRS-SRP)
  6. Electronic Direct Deposit Authorization (TMRS-80E)
  7. Refund Application (TMRS-0005)

Forms for Members

  1. New Member Enrollment (TMRS-0016)
  2. Formulario de Miembro Nuevo (TMRS-0016S)
  3. Address or Name Change Form (TMRS-CHNG)
  4. Change of Beneficiary for Non-Vested Members (TMRS-0007)
  5. Change of Beneficiary for Vested Members (TMRS-007V)
  6. USERRA Military Service Credit Application (TMRS-92)
  7. Application for Military Service Credit Purchase(TMRS-34)
  8. Application for Military Service Credit Time Only (TMRS-34A)
  9. Application for Restricted Prior Service Credit (TMRS-35R)
  10. Proportionate Buyback Application (TMRS-PBBA)
  11. Refund Application (TMRS-0005)

Forms for Retiring Members

Service Retirement

  1. Service Retirement Packet (TMRS-SRP)
  2. Service Retirement Checklist
  3. Application for Service Retirement (TMRS-15)
  4. Selection of Retirement Plan (TMRS-0024)
  5. Selection of Partial Lump Sum Distribution (TMRS-PLSD)
  6. Electronic Direct Deposit Authorization (TMRS-80E)
  7. Name Certification (TMRS-30)
  8. Acceptable Proofs of Birth (TMRS-27)
  9. Baptismal Record Affidavit (TMRS-52)
  10. Family Bible Record Affidavit (TMRS-28)
  11. Application for Insurance Premium Deductions for
    Retired Public Safety Officers (TMRS-HLPS)

Disability Retirement

  1. Occupational Disability Retirement Packet (TMRS-ODRP)
  2. Application for Occupational Disability Retirement
    (TMRS-15/O)
  3. Member's Statement for Occupational Disability (TMRS-40/OB)
  4. City Statement for Occupational Disability (TMRS-40/OA)
  5. Physician's Statement for Occupational Disability
    (TMRS-40/OC)

Supplemental Death

  1. Supplemental Death Beneficiary Designation (TMRS-75)

Other Forms for Retirees

  1. Address or Name Change Form (TMRS-CHNG)
  2. Change of Beneficiary (after retirement) (TMRS-0086)
  3. Electronic Direct Deposit Authorization (TMRS-80E)
  4. IRS W-4P Withholding Certificate for Pension
    or Annuity Payments
  5. Application for Insurance Premium Deductions for
    Retired Public Safety Officers (TMRS-HLPS)

Forms for City Correspondents

  1. Employee Contributions Report (TMRS-2)
  2. Summary of Monthly Payroll Report (TMRS-3)
  3. Tips for Successful TMRS Employee Presentations
  4. Public Safety Employee Certification (TMRS-PSE)
  5. Remittance of Lump Sum City Contributions (TMRS-3ADD)



Texas Municipal Retirement System • Providing Retirement Security for Texas Municipal Employees
Post Office Box 149153 • Austin, Texas 78714-9153 OR 1200 North Interstate 35 • Austin, Texas 78701
(800) 924-8677 • (512) 476-7577 • Fax: (512) 476-5576 • phonecenter@tmrs.com • www.tmrs.com

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