Defined Contribution Forms

Forms Policy

1. Digital signatures are not accepted by NDPERS.
2. Completed forms must be submitted to NDPERS by fax, by mail, or as a scanned PDF.
3. NDPERS does not accept picture files such as .jpeg, .jpg, .tif, or .png.

Select a form to download:

• Authorization for Automatic Premium Deduction (SFN 50134)
• Designation of Beneficiary for the Group Retirement Plan (SFN 2560)
• USERRA Service Purchase Agreement (SFN 17758)
• Defined Contribution Retirement Plan Enrollment (SFN 62522)

Other general forms:

• Authorization to Release Confidential Information (SFN 61324)
• Notice of Change for Name & Address (SFN 10766)