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

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

 

HealthCare 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

HMO Health Care Cancellation Request 

Verification of Employment and Employer Health Care Access for 2009 form

Verification of Employment and Employer Health Care Access for 2010 form

 

Other Forms

Designation of Beneficiaries Prior to Benefit Payments for Combined Plan Participants

Authorization for Release of Retirement Account Information

Important Personal Papers

Federal Income Tax Withholding for STRS Ohio Benefits

Taxes and Your STRS Ohio Benefits

Withholding Certificate for Ohio Personal Income Tax