Kentucky Public Retirees Membership Application

New Members

Applicants must qualify by being retired or eligible for retirement from KERS, CERS, or SPRS or be the spouse of a current KPR member.

Teachers receiving benefits from Kentucky Teacher's Retirement System are NOT eligible for membership.

Membership dues are free the first year. (Membership runs Jan.- Dec. Free dues end Dec. 31.)

This selection is ONLY for those joining KPR for the first time. If you are renewing your membership and wish to pay online, please go to "Pay Dues Online" under the Membership tab. Please complete a separate form for each new member.

If you wish to pay ahead for your second year, click here - Pay Second Year Dues

indicates required field

First Name

Last Name

System

Phone Number

Address 1

Address 2

City

State/Province

Zip/Postal Code

Confirm Email

Referred By

Chapter (if known)

County