- Digital signatures are not accepted by NDPERS.
- Completed forms must be submitted to NDPERS by fax, by mail, or as a scanned PDF.
- NDPERS does not accept picture files such as .jpeg, .jpg, .tif, or .png.
Select a form to download:
Enrollment and Designation of Beneficiary
- Retiree Life Insurance Application (SFN 53622)
- Life Insurance Designation of Beneficiary (SFN 53855)
Conversion and Portability (Continuation)
- Life Conversion Information Request
- Term Life Coverage Continuation Request and portability rates
- Understand Conversion and Portability