Members can view or print any of the STRS Ohio forms listed below:

• Health Care;
• Division of Property; and
• Other Forms.

 

Health Care Forms

Application For Enrolling Benefit Recipient, Spouse or Dependent Children in an STRS Ohio Health Care Plan

Enrollment Application for Sponsored Dependent Under the STRS Ohio Health Care, Dental or Vision Plans

Sponsored Dependent's Financial Status Form

Dependent Child's Financial Status Form

STRS Ohio HMO Health Care Cancellation Request 

Student Status Verification for Health Care

 

Other Forms

Application for Lump-Sum Payment (Reemployed Retiree Under Age 65)

Application for Monthly Annuity or Lump-Sum Payment (Reemployed Retiree)

Authorization for Release of Retirement Account Information

Beneficiary Designation — All STRS Ohio Death Benefits

Direct Deposit Form

Important Personal Papers

Federal Income Tax Withholding for STRS Ohio Benefits

Withholding Certificate for Ohio Personal Income Tax