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 Income Tax Withholding Form

Change Online Now

Retirement Application Form
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 Form

If your loved one was a vested member upon death or the death was work related, use this form.

Beneficiary or Personal Representative Request for Refund of Employee Contributions

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

All enrollments must be completed on ECLIPSE. Use this form for your employer’s internal use only.
Enroll Online      Download Form – Internal Use Only

Payments Due to a Former Member Form

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

Purchase Military Service Form

Estimate Online Now

Purchase Other Missouri Public Service Form

Retiree State Income Tax Withholding Form

Retiree Federal Income Tax Withholding Form

Change Online Now

Retirement Application Form 

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

Unfunded Liability Payment Form

If an employer is making an additional lump sum payment towards their Unfunded Liability, send the payment with this form.