Life Insurance Forms for Retired Members

Medium

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:

Enrollment and Designation of Beneficiary

Conversion and Portability (Continuation)

Other general forms