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Home  >  Active Employees  >  Forms

Forms for Active Employees


  • Automatic Withdrawal Cancellation of Insurance Premiums - ERS GI 2.945 (pdf)
  • Choose to Quit Certification Form - ERS 2.958 (pdf)
  • Dependent Child Certification - ERS GI-1.081 (pdf)
  • Disability Retirement Packet - ERS 2.11 (pdf)
  • Request or Renew Health Coverage for a Disabled Dependent Child - ERS 2.654 (pdf)
  • Securian/Minnesota Life
  • Tobacco Use Certification Form  - ERS 2.933 (pdf)
  • Verification of Insurance  - ERS 2.837 (pdf)
  • Verification of Optional Retirement Program Participation  - ERS 2.613 (pdf)
Employees Retirement System of Texas

Employees Retirement System of Texas

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Austin, TX 78701

Toll-free: (877) 275-4377
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Fax: (512) 867-7438

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