Kentucky Public Pensions Authority Forms

This Form is used for retired police officers in Kentucky to appoint someone to represent them in city matters.

This form is used for reporting and balancing employer acknowledgment in the state of Kentucky.

This form is used for the city recertification process of retired police officers in Kentucky. It is a required document for retired officers to maintain their certification.

This form is used for recertifying retired police officers in Kentucky. It is used to verify their eligibility for continued benefits and recognition as a retired officer.

This Form is used for appointing Kentucky State Police School Resource Officers in Kentucky schools.

This form is used for authorizing the release of retirement account information in the state of Kentucky.

This Form is used for retired police officers to be appointed at postsecondary institutions in Kentucky.

This form is used for obtaining a qualified domestic relations order in Kentucky to facilitate the payment of alimony or maintenance in cases of divorce or separation.

This form is used for obtaining a post-retirement Qualified Domestic Relations Order (QDRO) in Kentucky to divide marital property after a divorce.

This form is used for submitting a Qualified Domestic Relations Order (QDRO) for child support in the state of Kentucky. A QDRO is a legal document that outlines how child support payments will be made and managed.

This form is used for creating a Special Power of Attorney in the state of Kentucky. It allows someone to give another person the authority to act on their behalf in certain specific situations.

This form is used for obtaining a Qualified Domestic Relations Order (QDRO) in Kentucky to ensure the payment of child support by an administrative agency.

This form is used for workers' compensation certification in the state of Kentucky. It is used to certify that an employer has workers' compensation coverage for their employees.

This form is used for certifying your social security number in the state of Kentucky.

This document is used for applying to become a trustee in the state of Kentucky.

This form is used for applying for a refund of member contributions and selecting direct rollover or direct payment options in Kentucky.

This form is used for rejecting nonhazardous part-time participation in Kentucky in 2014.

This form is used for filing a travel voucher for independent examination in the state of Kentucky.

This form is used for certifying an application for disability retirement and providing supporting medical information in the state of Kentucky.

This form is used for annual certification of non-contributing service providers by employers in Kentucky. It ensures compliance with state regulations regarding the employment of such service providers.

This form is used for employer certification of health insurance for the dollar contribution reimbursement plan in Kentucky.