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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
  • Member LoginEmployer Login
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  1. Home
  2. Employer Forms

Employer Forms

General forms

  • Notice of Appointment of Authorized Agent or Contact (SFN 17029)
  • Meeting Request & Registration Form (SFN 53176)
  • Employer Payment Election (SFN 52799)
  • Organization Authorization for Electronic Payment (SFN 59511)

Employer Based Wellness forms

  • Employer Based Wellness Program - Commitment Agreement (SFN 58643)
  • Employer Based Wellness Program Year - End Program/ Activity Confirmation (SFN 58437)
  • Employer Based Wellness Program Discount Application (SFN 58436)
  • Wellness Funding Program Application (SFN 58361)
Add, Update, and Terminate Employees

Find the new hire, refund/rollover, transfer, or retirement guides and forms. 

View guides

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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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