MERSLA • Baton Rouge, Louisiana Need help? Phone: 225-925-4810 Toll-Free: 1-800-820-1137 Fax: 225-925-4816

Forms Center

FormAudienceTopicOpen
2026 W-4PRetireeTaxesView Form
Authorization for Direct Deposit FormRetireePaymentsView Form
Beneficiary Designation FormMember / EmployerBeneficiaryView Form
Change of Member Status FormEmployerMembershipView Form
Conversion of Leave FormEmployerLeaveView Form
Disability Retirement ApplicationMember / EmployerRetirementView Form
DROP Application PacketMember / EmployerDROPView Form
Employer Contact Information FormEmployerAdministrationView Form
Employer Direct Deposit FormEmployerPaymentsView Form
Employer Insurance Deduction TemplateEmployerInsuranceView Form
Employer Request to Withhold Insurance PremiumsEmployerInsuranceView Form
Empower DROP Installment Payments FormRetireeDROPView Form
Empower DROP Lump Sum Distribution FormRetireeDROPView Form
Enrollment FormEmployerEnrollmentView Form
Forfeiture of Benefits FormEmployerAdministrationView Form
Personal Information Update FormMember / Retiree / EmployerAccountView Form
Purchase Military ServiceMember / EmployerService CreditView Form
Reciprocal Recognition of ServiceMember / EmployerService CreditView Form
Reemployment of RetireeRetiree / EmployerReturn to WorkView Form
Refund Application PacketMember / EmployerRefundView Form
Refund Employer Certification FormEmployerRefundView Form
Repayment of Refund Cost CalculationMember / EmployerRefundView Form
Request for Contribution BalanceMemberContributionsView Form
Request for Part-Time Earnings Limit FormRetireeReturn to WorkView Form
Request for Retirement / DROP Estimate FormMember / EmployerRetirementView Form
Retain Membership in MERSMemberMembershipView Form
Retire from DROP /Post DROPMember / EmployerDROPView Form
Retire from Full-Time Reemployment FormRetireeReturn to WorkView Form
Retiree Income Verification Request FormRetiree / EmployerVerificationView Form
Retiree Insurance Premium Deduction AuthorizationRetiree / EmployerInsuranceView Form
Retiree Return to Work Part-Time Monthly Earnings FormRetiree / EmployerReturn to WorkView Form
Retirement ApplicationMember / EmployerRetirementView Form
SSA-1945 Social Security Acknowledgment FormEmployerEnrollmentView Form
Survivor Application for RefundRetiree / EmployerSurvivorView Form
Survivor Application for Retirement BenefitsMember / EmployerSurvivorView Form
Survivor Insurance Premium Deduction AuthorizationRetiree / EmployerInsuranceView Form
Survivor Refund Employer Certification FormEmployerRefundView Form
Transfer of Creditable ServiceMember / EmployerService CreditView Form