PUBLIC SAFETY PERSONNEL RETIREMENT PLAN
Forms Commoly Used by Active Members 
(Revised  August 2011)
ALL OF THE FOLLOWING DOCUMENTS ARE IN PDF FORMAT
See Retired Member Forms

BENEFICIARY DESIGNATION FORM

ADDRESS AND NAME CHANGE FORM

FORM U3 - REFUNDS: LUMP SUM DISTRIBUTION ELECTION FORM

APPLICATION TO TRANSFER SERVICE

APPLICATION TO TRANSFER SERVICE BETWEEN CITIES

ADDITIONAL RESOURCES

AUTHORIZATION FOR RELEASE OF INFORMATION

3010 E Camelback Rd,Ste 200
Phoenix, Arizona 85016
Phone: (602) 255-5575
Fax Main: (602) 255-5572
Fax Active: (602) 296-2368
Fax Benefits:(602) 296-2369