Application for Retirement (RS121) - PERSI - Idaho 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Member Information section. Enter your full name, Social Security Number, mailing address, and contact details. Ensure accuracy as this information is crucial for processing your application.
3. In the Retirement Benefit Payment Options section, select your preferred retirement option by checking the appropriate box. If you choose Options 1, 2, 4A, or 4B, complete the Contingent Annuitant Selection section with their details.
4. For direct deposit authorization, fill in the Financial Institution Information. Attach a voided check if using a checking account to ensure correct routing.
5. Complete the Member Acknowledgment and have it notarized. If married, ensure your spouse completes their acknowledgment before a notary as well.
6. Review all sections for completeness and accuracy before saving your document. Keep a copy for your records and submit the original to PERSI.

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