New Employees


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  • PERS Enrollment

    You are required to complete this form. For more information, click here, handbook pages 37-38.

    Member information

    • Complete all sections.
    • Current Name (first, middle initial (or) middle name) must appear exactly the way it appears on your current Social Security card.

    Family information

    • Complete all sections.
    • Dependent cildren should be listed as long as they are not married; under age 19; between ages19-3 and are a full-time student at an accredited high school, college or university; or physically or mentally incompetent as judged by either a Mississippi court, or by the PERS board.

    Previous membership information

    • Answer the first two (2) questions.
    • If you’ve never worked for a Mississippi State Agency, proceed to the section Member Certification.
    • If you have worked for a Mississippi state agency, answer every question (Date of First Membership, Name of Previous Employer, Date First Membership Terminated and Dates of Refund, if applicable).

    Member certificate

    • Print, sign and date.