Employee Forms

Public Employees’ Retirement System

  • PERS Form 4B (Reemployed PERS Retirees only)
  • PERS 1B (Beneficiary Designation)
  • PERS 1C (Change of Information)

Current Employees

Health Insurance

  • State and School Employees Health Insurance
  • Application for Coverage
  • Health Insurance Marketplace Notice

Tax Forms

  • W-4 Federal Tax Withholding
  • Mississippi State Tax Withholding
  • I-9 Employment Eligibility Verification

Payroll