Form 18-Service Retirement Application Form-Hawaii Employees' Retirement System Page 2

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Rev. 1/2017
REQUIRED DOCUMENTS
1. Government issued identification for verification of signature. Acceptable identification include:
Driver’s license
State ID
Passport
Military ID
2. Proof of your birth date. In addition, you must provide verification of your beneficiary’s birth date if you
select a 50% or 100% Survivor Option which provides for a lifetime benefit for the designated
beneficiary.
Acceptable documents include one of the original document listed below:
Certified copy of your birth certificate; or
Original baptismal certificate recorded before age five; or
Written verification from Social Security if you are age 62 or over.
If one of the above is not available, submit any two originals of the following:
Original baptismal certificate/religious record with birth date or age and recorded after age five
Valid Hawaii driver’s license
Hawaii State Identification card
Passport
Foreign passport with birth date or age
Marriage record with birth date or age
Naturalization record with birth date or age
Voter registration record
Census record
Military record with birth date or age
Hospital treatment record with birth date or age
Life insurance policy
Elementary school record
Child’s birth certificate with age of member/parent
Please contact our ERS Offices at any of the following locations if you need any further
assistance.
Office Hours: 7:45 am – 4:30 pm (except holidays)
City Financial Tower
Oahu
201 Merchant Street , Ste. 1400
(808) 586-1735
Validated Parking in the building
101 Aupuni St., #208
(808) 974-4077
Hawaii
Hilo, Hawaii 96720
(808) 974-4000 Ext. 61735 (toll free to Oahu)
3060 Eiwa St., #302
(808) 274-3010
Kauai
Lihue, Hawaii 96766
(808) 274-3141 Ext. 61735 (toll free to Oahu)
(808) 984-8181
Maui
54 S. High St., #218
(808) 984-2400 Ext. 61735 (toll free to Oahu)
Wailuku, Hawaii 96793
Molokai/Lanai
1-800-468-4644 Ext. 61735 (toll free to Oahu)
Email:
dbf.ers.sss@hawaii.gov
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