Forms for Retirees
Forms
Direct Deposit Authorization Form
Federal W-4P Tax Withholding Certificate
Member Mailing Address Change Form
* If you are still working for a PERSI employer, your address must be updated through your employer’s payroll transmittal.
Member Name Change Form
* If you are still working for a PERSI employer, your name must be updated through your employer’s payroll transmittal.
PERSI Durable Limited Power of Attorney Form
Request For Account Information By Spouse or Former Spouse Form
State of Idaho Tax Withholding Form
Third-Party Verification Request
* All other Choice 401(k) Plan forms are available by calling Empower Retirement at 1-866-437-3774 or by logging into your Choice 401(k) Plan account. You can log in to your Choice 401(k) Plan account either via the link in your myPERSI account or directly to the Choice 401(k) Plan website.