Home arrow Members arrow Forms arrow Benefits and Counseling Forms
Benefits and Counseling Forms Print
Click here to download!

Please click on the form that you wish to view.


Form Size
Retirement Application - use this form to apply for monthly ATRS benefits. 112k
Inactive Retirement Application - use this form to apply for monthly ATRS benefits if you qualify for retirement benefits but have not been an active member during the last fiscal year. 60k
T-DROP Application - use this form to apply for participation in the Arkansas Teacher Deferred Retirement Option Plan (T-DROP). 52k
T-DROP Distribution - use this form when applying for monthly ATRS retirement benefits to direct distribution of your T-DROP funds at retirement. 56k
G2 Salary Statement (1959-80) - use this form to certify time worked in an Arkansas Public School and not reported to ATRS. 7K
G2 Salary Statement (1980-2003) - use this form to certify time worked in an Arkansas Public School. 7K
G2 Salary Statement (1991-2013) - use this form to certify time worked in an Arkansas Public School. 7K
OUTST G3A Form (1942-1965) - use this form to certify time worked in an out-of-state public school. 20K
OUTST G3A Form (1965-1988) - use this form to certify time worked in an out-of-state public school. 20K
OUTST G3A Form (1989-2013) - use this form to certify time worked in an out-of-state public school. 20K
Private School Service Form - use this form to certify time worked in a private school. 9K
Military M1 Form - use this form to apply for military service as eligible for credit in ATRS. 7K
Reciprocity Form - use this form to acknowledge service from other AR State supported Retirement Plans. 11K
Military M2 Form - use this form to apply for purchase of military service. 50k
Direct Deposit Authorization - use this form to initiate or change ATRS directly deposited funds. 25k
Federal and State Tax Election Form - use this form to declare or change exemption information. 22K
Tax Bulletin - Special tax notice regarding refunds of before taxed contributions and interest. 28K
Change in Option Law - use this form regarding changing options after retirement 28k
Reciprocity Summary - provides information regarding qualifications of establishing reciprocity. 28k
Cash and Savings Help Program (CASH) Application and Tax Election Form - offers a ONE-TIME CASH BUYOUT payment for inactive vested noncontributory members of ATRS. 80k
Last Updated ( Tuesday, 19 November 2013 )