Skip to Content (Press Enter)


Forms and group administrator manual

The forms listed on the menu below are for use by employers. These forms are in portable document format (PDF). You may print and copy as needed.


  • Groups that submit eligibility electronically or on paper may use these forms.
  • Groups that submit electronic enrollment must submit changes to membership information electronically.
  • The employee enrollment applications are for use by groups that submit paper enrollment forms only.



Arkansas State Employees / Public School Personnel Group Administrators