Application for a Reemployed PERA Retiree - Public Employees 2026

Get Form
Application for a Reemployed PERA Retiree - Public Employees Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Application for a Reemployed PERA Retiree - Public Employees with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Application for a Reemployed PERA Retiree in our editor.
  2. Begin by filling out the 'Re-employed Retiree Information' section. Enter your Social Security or PERA ID number, first name, middle initial, last name, and date of birth. Ensure all required fields are completed in dark ink.
  3. Provide your mailing address, including city, state, and zip code. Include your home or cell telephone number, business telephone number, and email address.
  4. Indicate your gender by selecting either 'Male' or 'Female'. Next, specify your original retirement date and choose your re-employed retiree contribution option.
  5. Read the certification statement carefully and sign it to confirm that you have not been employed by a PERA-affiliated employer during the required break in service.
  6. The 'Current Employment Information' section must be completed by your employer. Ensure they fill in their details accurately before submission.
  7. Finally, review all entries for accuracy before saving and submitting the form through our platform.

Start using our editor today to complete your application quickly and efficiently!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
With the PERA Defined Benefit (DB) Plan, youll receive income in retirement that you cant outlive. The amount youll receive each month depends on three important factors: Your highest average salary, the amount of service credit you have accrued, and your age at retirement.
You can get this application form from our website at .opm.gov. You can also get the application by calling us at 1-888-767-6738 (TTY: 1-855-887-4957), emailing us at retire@opm.gov or by writing to us at: U.S. Office of Personnel Management Federal Employees Retirement System P.O. Box 45 Boyers, PA 16017-0045.
You can return to work after youve retired. While there are many factors to consider Social Security benefits, Medicare, income and expenses, and your lifestyle there is no law or rule against people who have docHubed full retirement age (FRA) returning to work.
To those who are employers that go back to work in the private sector, they will see basically no change in their benefits. The only situation where benefits might be affected is if they are not yet their full retirement age for Social Security and have income over certain limits.
You will be subject to the 960-hour limit .