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.
5/25/2011
Reminder to Use Current TMRS Forms
The following forms were recently revised, and TMRS no longer accepts the old versions of these forms:
- Refund Application (TMRS-0005)
The rollover form included with the refund application was revised in 2010; the newest version of this form must be used. - Selection of Partial Lump Sum Distribution (TMRS-PLSD)
The PLSD selection form included as part of the retirement packet was also revised in 2010 due to changes in rollover rules. - Direct Deposit Authorization (TMRS-80E)
This form was revised in 2010; therefore any TMRS-80E issued before that date will no longer be accepted.
NOTE: Everyone — cities and members — needs to use the new forms. If old forms are submitted, TMRS will return them and request resubmission of the new forms. Please help get this information out to your members and also replace your old forms with new ones. The revision date of forms can be found at the bottom left corner of each form, for example: TMRS - 080E • Revised 7-2010.
Most Commonly Used TMRS Forms
- New Member Enrollment (TMRS-0016)
- Address or Name Change Form (TMRS-CHNG)
- TMRS Change of Beneficiary for Vested Members (TMRS-007V)
- Application for Restricted Prior Service Credit (TMRS-35R)
- Service Retirement Packet (TMRS-SRP)
- Electronic Direct Deposit Authorization (TMRS-80E)
- Refund Application (TMRS-0005)
Forms for Members
- New Member Enrollment (TMRS-0016)
- Formulario de Miembro Nuevo (TMRS-0016S)
- Address or Name Change Form (TMRS-CHNG)
- Change of Beneficiary for Non-Vested Members (TMRS-0007)
- Change of Beneficiary for Vested Members (TMRS-007V)
- Application for Military Service Credit Purchase(TMRS-34)
- Application for Military Service Credit Time Only (TMRS-34A)
- Application for Restricted Prior Service Credit (TMRS-35R)
- Proportionate Buyback Application (TMRS-PBBA)
- Refund Application (TMRS-0005)
- Special Tax Notice Regarding Plan Payments
Forms for Retiring Members
Service Retirement
- Service Retirement Packet (TMRS-SRP)
- Service Retirement Checklist
- Application for Service Retirement (TMRS-15)
- Selection of Retirement Plan (TMRS-0024)
- Selection of Partial Lump Sum Distribution (TMRS-PLSD)
- Electronic Direct Deposit Authorization (TMRS-80E)
- Name Certification (TMRS-30)
- Acceptable Proofs of Birth (TMRS-27)
- Baptismal Record Affidavit (TMRS-52)
- Family Bible Record Affidavit (TMRS-28)
- Application for Insurance Premium Deductions for
Retired Public Safety Officers (TMRS-HLPS) - Special Tax Notice Regarding Plan Payments
Disability Retirement
- Occupational Disability Retirement Packet (TMRS-ODRP)
- Application for Occupational Disability Retirement
(TMRS-15/O) - Member's Statement for Occupational Disability (TMRS-40/OB)
- City Statement for Occupational Disability (TMRS-40/OA)
- Physician's Statement for Occupational Disability
(TMRS-40/OC)
Supplemental Death
Other Forms for Retirees
- Address or Name Change Form (TMRS-CHNG)
- Electronic Direct Deposit Authorization (TMRS-80E)
- IRS W-4P Withholding Certificate for Pension
or Annuity Payments - Application for Insurance Premium Deductions for
Retired Public Safety Officers (TMRS-HLPS)
Forms for City Correspondents
- Employee Contributions Report (TMRS-2)
- Summary of Monthly Payroll Report (TMRS-3)
- Tips for Successful TMRS Employee Presentations
- Public Safety Employee Certification (TMRS-PSE)
- Remittance of Lump Sum City Contributions (TMRS-3ADD)

