Forms

Change of Name or Beneficiary Before Retirement Form
Change Online Now

Change of Address Form

Change Online Now

Direct Deposit Form

Retiree State Income Tax Withholding Form

Retiree Federal Tax Withholding Form

Change Online Now

Application for Retirement A member applying for a regular, early or disability retirement should use this form.
Apply Online Now

In Alphabetical Order

Active Member Pre-Retirement Survivor Benefit Application
If your loved one was a vested member upon death or the death was work related, use this form.

Request of Refund by Beneficiary or Personal Representative

If your loved one was not vested upon death, but made contributions to the system, use this form.

Change of Address Form
(Change Online Now)

Change of Name or Beneficiary Before Retirement Form
(Change Online Now)

Direct Deposit Form

Disability Benefits: Attending Physician’s Statement of Disability Form

Former Member’s Survivor Benefit Application Form

If your loved one’s death occurred while the member was no longer employed by a LAGERS employer, use this form.

New Employee Enrollment Form (Employers Only)
(Enroll Online)
All enrollments must be completed on ECLIPSE. Use this form for your employer’s internal use only. 

Payments Due to a Former Member Form
(Apply Online Now)

A former member applying for a refund of employee contributions or a lump sum benefit should use this form. 

Purchase Military Service Form
(Estimate Online Now)

Purchase Other Missouri Public Service Form

Retiree State Income Tax Withholding Form

Retiree Federal Tax Withholding Form
(Change Online Now)

Application for Retirement
(Apply Online Now)

A member applying for a regular, early or disability retirement should use this form.