Must be completed by your employer before you can retire. Please take this form to your personnel office no less than three months prior to your retirement date.
Use this form to have your financial institution certify the plan you would like your Colorado PERA Defined Benefit (DB) plan to be rolled into if you did not complete the Financial Institution Certification section of the Rollover Request-Defined Benefit Plan form or if you have tax-paid money in your account and need certification.