Employer Forms and Instructions
To get a copy of any form in the mail, please call INPRS toll-free at (888) 526-1687 and we will mail you the desired form or forms immediately.
Forms for employer use for the Public Employees' Retirement Fund
- Authorized Agent Designated to Perform Necessary Duties (State Form 54190)
- Employer Certification of School Service
- Employer Certification of Creditable Service & Authorized Leave
- Employer's Report of a 45-Year Rule Employee
- Employer's Report of Separation from Employment
- Employer's Report of Wages and Contributions
- Employer Reporting and Maintenance (ERM) System Online Data Setup and User Authorization
- Participation Election for School Corporation Employees
- PERF Membership Record – Pursuant to Indiana Code (IC) 5-10.3-7-12.5, as of July 1, 2010, all Membership Records must be submitted online. To submit a Membership Record, please log in to your PERF Online for Employers account and follow the instructions provided here.
- Re-employed Retiree Membership Record and Employer Certification of Eligibility
- Authorized Agent Designated to Perform Necessary Duties (State Form 54190)
- Wages Certification - Re-employed Retirees
- Wages and Contributions Adjustment Sheets
- Wages and Contributions Summary Sheet
- Wage and Contribution Quarterly Report Template: REVISED – For instructions on uploading Wage and Contribution reporting templates to INPRS, click here.
Forms for employer use for the Teachers' Retirement Fund
- 3% pre-tax pick-up model resolution
- Authorized Agent Designated to Perform Necessary Duties (State Form 54190)
- Employer Contact Information (State Form 53142)
- Employer Reporting and Maintenance (ERM) System Online Data Setup and User Authorization
- Employer Resolution for Voluntary Pre-Tax Contributions
- Enrollment for a School or Charter School as New Employer (State Form 53268)
- Enrollment for New Members Employed by a Charter School (State Form 53269)
- Enrollment Form for New Members (State Form 37680)
- Indiana Charter School Participation Election Form
- P31 Payment Transmittal (State Form 26716)
Forms for employer use for other INPRS funds
- 1977 Police Officers' and Firefighters Pension and Disability Fund Membership Record
- Authorized Agent Designated to Perform Necessary Duties (State Form 54190)
- Employer Reporting and Maintenance (ERM) System Online Data Setup and User Authorization
- Excise, Gaming and Conservation Plan Membership Record
- Judges' Retirement System - W&C Quarterly Reporting Template – For instructions on uploading Wage and Contribution reporting templates to INPRS, click here.
