Box 2123, Santa Fe, New Mexico 87504-2123 (505) 476-9401 fax (505) 476-9300 voice (800) 342-3422 Tol-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Employee Information. Fill in your Social Security Number or PERA ID Number, First Name, Middle Initial, Last Name, and Date of Birth. Ensure all required fields marked in bold italics are completed.
  3. Provide your contact details including Home Telephone Number, Business Telephone Number, Email Address, and Street Address. Select the appropriate Address Type: Permanent or Temporary.
  4. Indicate your Current Marital Status by checking the corresponding box. Then select your Gender and City/State of Birth.
  5. Review the Employee Exclusion Categories on the reverse side of the form and check only one box that applies to your situation.
  6. Sign and date the Employee Certification section to confirm your understanding of the exclusion from PERA membership.
  7. If applicable, complete the Current Employment Information section with details about your employer and their certification.

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Eligible employees are required by State of New Mexico law to join the Public Employees Retirement Association of New Mexico (PERA).
Because PERA is a defined benefit plan, you are guaranteed life-long monthly benefits after retirement. Benefits are paid when certain age and service credit eligibility requirements are met, regardless of the amount of member contributions paid into the plan.
The average monthly retirement benefit for members is $2,606. PERA serves 47,855 active employees and 45,216 retired members and survivor beneficiaries. New employees contribute 7.42-10.92% of pay to PERA. After a 30-year career, a pension benefit from PERA will replace 50% to 75% of an employees final average salary.