For the best user experience, click the “DOWNLOAD” button and save the form to your computer before completing it. You may print and mail the completed form or fill it out electronically and email it to PMRS. Please review the form instructions carefully to ensure all required information is included.
(PMRB-21) Instructions
(PMRB-21) Quarterly Report of Compensation and Contributions Instructions
Instructions to complete the quarterly report of contributions form.
(PMRB-21) Quarterly Report Excel Form
(PMRB-21) Quarterly Report of Compensation and Contributions Excel Description
This form is used to report compensations and contributions to individual member accounts.
(PMRB-21) Quarterly Report PDF Form
(PMRB-21) Quarterly Report of Compensation and Contributions PDF Description
This form is used to report compensations and contributions to individual member accounts. If you prefer an excel spreadsheet, click here to download and save.
(PMRB-21a) Quarterly Report Form
(PMRB-21a) Quarterly Report Form Description
Quarterly Report Form:
This report is used to reconcile deposits and contributions to individual member accounts.
NEW (PMRB-30) Disclosures
NEW (PMRB-30) Disclosures Description
Disclosures Form:
This form is to be used to make required disclosures to the Pennsylvania Municipal Retirement Board.
(SSA-1945) Statement Concerning Your Employment in a Job Not Covered by Social Security
(SSA-1945) Statement Concerning Your Employment in a Job Not Covered by Social Security Description (Social Security Administration form)
Statement Concerning Employment for Jobs Not Covered by Social Security:
Municipalities are required to provide this form to employees prior to employment for those who will work in positions not covered by Social Security. Once the employee signs the form, the municipality must submit a copy of it to PMRS where it will be kept on file. This is a Social Security Administration (SSA) form. By clicking the download button, you will be redirected to the SSA website form.
PMRS Standard Investment Managers Advisory Agreement
PMRS Standard Investment Managers Advisory Agreement Description
PMRS Standard Investment Manager Advisor Agreement:
Sample agreement used to retain investment advisors.
