Employer Forms and Publications - PERSI (Public Employee Retirement System of Idaho)

Helping Idaho Public Employees Build A Secure Retirement

Members Account Information Base Plan Choice 401(k) Plan Forms Videos Publications Newsletters What To Do If

Retirees Account Information Choice 401(k) Plan Forms Newsletters

Employers Employer Info GASB Info Employer Portal Forms Videos Transmittals Choice 401(k) Plan Newsletters

Insurance Vendors Insurance Vendor Info Insurance Vendor Portal

Video Vault Member Videos Employer Videos Training Videos Investment Videos

Brochures PERSI Brochures Choice 401(k) Plan

Online Services myPERSI Choice 401(k) Plan ARRIVOS / Employer Portal Insurance Vendors Workshop Registration

Investments Choice 401(k) Plan Base Plan

Education PERSI Education Workshop Registration

Employer Forms and Publications

Some forms can be submitted online electronically. To submit a form online you will need to have an Employer Reporting PERSI web account. Click on the icon for the form to log in.

Memos to Employers

Forms

Forms	PDF
RS102 Membership Application
RS110 Address change
RS115 Beneficiary Designation (for your employees to fill out)
RS118 Certification of Police Officer Status (PDF Fill-in Version)
RS118A Certification of PERSI Firefighter Status (PDF Fill-in Version)
RS119 Optional Retirement Plan (ORP) Sick Leave Submission
RS119JR Judicial Retiree Sick Leave Submission
RS130 Certification of City or County Employee's 8-Month Seasonal Status
RS132 Certification of Employment of a Retired Member
RS132A Certification of Employment of a Retired School Teacher or Administrator
RS211 School District / Charter School Sick Leave Policy Certification
RS415 Request for Premium Payments through the ORP Unused Sick Leave Program
RS432C Insurance Carrier Certification of Group Insurance Policy
RS432R Employer / Consortium Certification of Group Insurance Policy
Easy Pay - PERSI's Electronic Payment System
PERSI Employers Forms Version Log