Notification Forms

Please utilize these forms to notify MFPRSI of changes concerning your employees who are enrolled in the retirement system.

Printable Forms

• Address Change
• Authorized Leave (Disciplinary, Family Medical, w/out Pay, Maternity, Military)
• Notification of Temporary Disability
• Notification of Termination

Employers

• Compensation Reporting
• Contribution Rates
• Earnable Compensation Definition
• Employee Medical Protocol Forms
• New Employee Enrollment
• Notification Forms
• Terminated Member Reporting
• Log-in

MFPRSI

7155 Lake Drive, Suite 201 / West Des Moines, IA 50266 / Get Directions

Pensions: (515) 254-9200 / Investments: (515) 254-9979 / Management: (515) 254-9960

Toll-Free: (888) 254-9200 / Fax: (515) 254-9300

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