Retired Member Forms
Below we have all of our forms for retired members. If you need to search forms for active members, you will find them here.
All Forms
- Form 5 – Application for Surviving Spouse to Receive Monthly Retirement Benefit
- Form 12 – $5,000 Death Benefit Beneficiary Designation
- Form 13 – Address Change
- Form 13Q – Address Change – QDRO
- Form 15 – Personal Information Change
- Form 17 – Death Benefit Beneficiary Application
- Form 18 – Funeral Home – Death Benefit Beneficiary Application
- Form 19 – Health Election/Change Form for Eligible Retired Public Safety Officers
- Form 20 – Qualified Death Benefit Disclaimer
- Special Tax Notice
- IRS Form W-4P – Withholding Certificate for Periodic Pension or Annuity Payments
- IRS Form W-4R – Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions
- OK Form W-4P – Withholding Certificate for Periodic Pension or Annuity Payments
- OK Form W-4R – Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions
Forms can be submitted to forms@olers.ok.gov, or through fax or mail.
Please reach out if you have any questions about our forms.