kpers@kpers.org      Toll-free: 1-888-275-5737 or Topeka: 785-296-6166

Forms

Request a paper form

Active Member Forms

Designation of Beneficiary
KPERS-7/99, (PDF, 257KB)
Designation of Beneficiary for Life Insurance - Board of Regents
KPERS-7/99A, (PDF, 203KB)
Additional Beneficiaries - Retirement Benefits
Use this form if you have more retirement beneficiaries than space allows on the KPERS-7/99, (PDF, 178KB).
Additional Beneficiaries - Life Insurance Benefits
Use this form if you have more life insurance beneficiaries than space allows on the KPERS-7/99, (PDF, 180KB).

Application for Withdrawal of Contributions, Related Forms and Information
KPERS-13 Booklet, (PDF, 340KB) -
Order printed copy here.
Solicitud para Retirar Ahorros de KPERS (Application for Withdrawal),
KPERS-13Spanish, (PDF, 227KB)
Authorization to Release Information
KPERS-14, (PDF, 156KB)
Important Tax Information Booklet, revised 11/15 (PDF, 195KB) - contains important information about rollover and lump-sum payments.

Retired Member Forms

Designation of Beneficiary - Retired
KPERS-7/99R (PDF, 235KB)
Additional Beneficiaries - Retirement Benefits (PDF, 178KB)
Use this form if you have more retirement beneficiaries than space allows on the KPERS-7/99.

Please call KPERS Toll-free at 1-888-275-5737 to report a member's death. We'll provide the necessary form.


Employer Forms

Designation of Agent
KPERS-2 (PDF, 299KB) - used to authorize individual staff members to conduct business with the Retirement System.
Additional Employer Web Portal Access
KPERS-2A (PDF, 210KB) - used to authorize limited employer web portal access. Designated agents and secondary signers automatically have full access.
Change of Employer Contact Information
KPERS-2B (PDF, 154KB) - used to update current employer, designated agent or secondary signer contact information.

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Kansas Public Employees Retirement System
611 S. Kansas Ave, Topeka, KS 66603
Toll-free: 1 888 - 275-5737
Email: kpers@kpers.org