General FPPA Forms

Affidavit of Common Law Marriage

Change of Address Form

Email Address Form

FPPA Records Release Form

Understanding Your 1099R Form

FPPA Forms for the Management of Deposits

Electronic Funds Transfer (EFT) Form

Deposit Advice Selection Form - Control the frequency of your Deposit Advices with this form. Learn more about Deposit Advices options.

W-4P Monthly Pension Distribution Form

W-9 Request for Taxpayer Identification Number and Certification


FPPA Forms for Members Granted a Statewide Defined Benefit System Retirement

Update Beneficiary

Request SRA Distribution from FPPA

• Instructions
• Special Tax Notice
• Application
  

Request SRA Distribution from Fidelity
Visit the Fidelity webpage - or - contact Fidelity directly at (800) 343-0860.

FPPA Forms for Members Granted a Statewide Death & Disability Benefit