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NDPERS - North Dakota Public Employees Retirement System logo
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Main navigation Mobile
Main Menu
  • Home
  • Active Members
    Active Members
    • Insurance Plans
    • Retirement Plans
    • Board Election
    • Voluntary Separation Incentive Program (VSIP) and NDPERS Benefits
  • Retired Members
    Retired Members
    • Insurance Plans
    • Retirement Plans
  • Employers
    Employers
    • Employer Resources
    • Join NDPERS Plans
  • About NDPERS
    About NDPERS
    • Board of Trustees
    • Laws & Regulations
    • Financial & Actuarial Reports
    • Summary of 2025 Legislation
    • Investments
    • Bid Opportunities
    • Careers
    • We Are Looking For You
  • Contact
    Contact
    • Contact NDPERS
    • Board Members
    • Insurance & Retirement Plan Carriers
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  2. Defined Contribution Forms

Defined Contribution Forms

Forms Policy

  1. Digital signatures are not accepted by NDPERS.
  2. Completed forms must be submitted to NDPERS by fax, by mail, or as a scanned PDF.
  3. NDPERS does not accept picture files such as .jpeg, .jpg, .tif, or .png.

Select a form to download:

  • Authorization for Automatic Premium Deduction (SFN 50134)
  • Designation of Beneficiary for the Group Retirement Plan (SFN 2560)
  • USERRA Service Purchase Agreement (SFN 17758)
  • Defined Contribution Retirement Plan Enrollment (SFN 62522)
  • Agreement/Waiver of Participation for Optional Defined Contribution Retirement Plan(SFN 54366)

Other general forms:

  • Authorization to Release Confidential Information (SFN 61324)
  • Notice of Change for Name & Address (SFN 10766)

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Copyright © 2026
ND Public Employees Retirement System
1600 East Century Avenue, Suite 2 | PO Box 1657 | Bismarck, ND 58502-1657
P: 701.328.3900 | TF: 800.803.7377 | F: 701.328.3920
https://www.ndpers.nd.gov/contact/

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