Skip to main navigation Skip to main content

Forms

Form Disclaimer

All forms on the KRS website can be viewed within any browser.  If you would like to fill a form out online, you will need to use any browser EXCEPT Microsoft Edge



Forms
DownloadTitle
Form 2011 - Hazardous Duty Certification H.P.-2Form 2011 - Hazardous Duty Certification H.P.-2
Form 2014 - Rejection of Nonhazardous Part-Time ParticipationForm 2014 - Rejection of Nonhazardous Part-Time Participation
Form 4225 - Verification of Past EmploymentForm 4225 - Verification of Past Employment
Form 6481 - Employer Request for Post-Determination of Bona Fide Promotion or Career AdvancementForm 6481 - Employer Request for Post-Determination of Bona Fide Promotion or Career Advancement
Form 6486 - Authorization for Release of Retirement Account InformationForm 6486 - Authorization for Release of Retirement Account Information
From 6751 - Employer Certification Regarding ReemploymentFrom 6751 - Employer Certification Regarding Reemployment
Form 6752 - Employer Certification of Independent Contractor or Leased EmployeeForm 6752 - Employer Certification of Independent Contractor or Leased Employee
Form 6753 - Employer Certification of VolunteerForm 6753 - Employer Certification of Volunteer
Form 6756 - Annual Employer Certification of Non-Contributing Service ProvidersForm 6756 - Annual Employer Certification of Non-Contributing Service Providers
Form 6760 - County Police or Sheriff Appointment of Retired Police OfficerForm 6760 - County Police or Sheriff Appointment of Retired Police Officer
Form 6764 - Recertification of Retired Police OfficerForm 6764 - Recertification of Retired Police Officer
Form 6766 - Appointment of Retired School Resource OfficerForm 6766 - Appointment of Retired School Resource Officer
Form 6767 - Appointment of Kentucky State Police School Resource OfficerForm 6767 - Appointment of Kentucky State Police School Resource Officer
Form 6768 - Postsecondary Institution Appointment of Retired Police OfficerForm 6768 - Postsecondary Institution Appointment of Retired Police Officer
Form 6769 - Certification of Employed Police Officers Calendar Year 2015Form 6769 - Certification of Employed Police Officers Calendar Year 2015
Form 6770 - City Appointment of Retired Police OfficerForm 6770 - City Appointment of Retired Police Officer
Form 6774 - City Recertification of a Retired Police OfficerForm 6774 - City Recertification of a Retired Police Officer
Form 6800 - Application for Duty Related/In Line of Duty Survivor BenefitsForm 6800 - Application for Duty Related/In Line of Duty Survivor Benefits
Form 7071 - Employer Administrator Account Creation RequestForm 7071 - Employer Administrator Account Creation Request
Form 7072 - Reporting/Balancing Employer Acknowledgement FormForm 7072 - Reporting/Balancing Employer Acknowledgement Form
Form 7727 - Actuarial Study for Quasi-Governmental Employer CessationForm 7727 - Actuarial Study for Quasi-Governmental Employer Cessation
Form 7730 - Application for Voluntary Cessation From CERS or KERSForm 7730 - Application for Voluntary Cessation From CERS or KERS
Form 7851 - Data Use AgreementForm 7851 - Data Use Agreement

Connect With Us