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Request for Refund Form

[Posted on 10/16/2015 at 1:36 PM]

There is a new version of the Request for Refund of Contributions form in the Active Member Forms page. The new form requires notarization as an added security measure to verify the identity of the member requesting the refund. MOSERS does have notaries on our staff who can notarize the form in our office. This form applies only to members of the MSEP 2011.

The Request for Refund of Contributions form is for use by the member upon termination from state employment or the spouse of a member who passes away. A separate form, the Non-spouse Beneficiary Request for Refund of Contributions form, is for use by another family member or beneficiary if the member dies and there is no surviving spouse. It, too, must be notarized.

For more information, we also have the Member Contributions brochure on our website under Active Member Brochures.

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Missouri State Employees' Retirement System
Address: 907 Wildwood Dr., Jefferson City, MO 65102 Phone: 800.827.1063 URL: Email: Founded On: September 1, 1957