Employer Self Serve Web
Dates & Deadlines
Deferral Option For Employer Contributions
Employer Accounting of Member Compensation
Employer Information form
Model Pick-Up Resolution For Employers Who Do Currently Participate In A Pick-up Plan
Model Pick-Up Resolution For Employers Who Do Not Currently Participate In A Pick-up Plan
Members Medical Questionnaire and Physicians Certification
This form must be completed by prospective members of OP&F and a licensed examining
Personal History Record
This form should be completed and filed with the Ohio Police & Fire Pension Fund
(OP&F) for each new employee who is hired as a full–time police officer or firefighter
in a position qualifying for enrollment in OP&F. Ohio law requires an employer to
cause the employee to undergo a physical examination in the form established by
OP&F prior to his or her employment and, with limited exceptions, timely file the
required documentation with OP&F. Otherwise, penalties and interest may be imposed
against the employer.
OP&F reserves the right to reject membership or service credit at a later date as
information becomes available.
Ohio law defines the eligibility guidelines for individuals who are required to
become a member of OP&F. Before enrolling in OP&F, the employer should review the
following guidelines and confirm that the individual meets the requirements for
OP&F membership. If the individual meets the requirements, the employer should complete
the Personal History Record form to begin the process of enrollment in OP&F as well
as filing the appropriate documentation for the pre–employment physical.
A summary of OP&F's membership requirements are as following:
Firefighters contributing to OP&F must be paid from public funds of the employing
municipal entity and be:
A full-time firefighter who is employed by a fire department of the state, instrumentally
of the state, or of a municipal corporation, township, joint fire district, or other
political subdivision in a position in which he or she is required to satisfactorily
complete, or to have satisfactorily completed, a firefighter training course approved
under former Ohio Revised Code (ORC) Section 3303.07 or Section 4765.55, or conducted
under ORC Section 3737.33.
Police officers contributing to OP&F must be paid from public funds of the employing
municipal entity and be:
A full-time, regular police officer in a police department of a municipal corporation
appointed from a duly–established civil service eligible list or pursuant to ORC
Section 124.411 [124.41.1];
A full-time, regular police officer in a police department who is appointed pursuant
to ORC Section 737.15 or 737.16 and is paid solely out of public funds of the employing
municipal corporation; or
A full-time police officer with a police department who is required to satisfactorily
complete a peace officer training course in compliance with ORC Section 109.77.
The employee applying for OP&F membership should complete Sections A through F and
the employer should complete Sections G, H, and I.
Download this Form
Pre-Employment Physical Requirements
Report of Retirement Deductions
Summary of Payment Remittance Information
This form is mandatory to accompany payments in order to help the Ohio Police &
Fire Pension Fund (OP&F) to process employer payments accurately and eliminate the
need for research or calling the employer. Complete this form and remit with all
payments submitted to OP&F. Employer representatives must enter their employer’s
office street address and phone number on this form; do not enter your home address
or phone number, even if you work from home. This form is commonly referred to as
the “recap form,” and is mandatory under Ohio Administrative Code section 742–9–10.
Statement Concerning Your Employment in a Job Not Covered by Social Security
Section 419(c) of Public Law 108-203, the Social Security Protection Act of 2004, requires State and local government employers to disclose the effect of the Windfall Elimination Provision and the Government Pension Offset to employees hired on or after January 1, 2005, in jobs not covered by Social Security. The law requires newly hired public employees to sign a statement that they are aware of a possible reduction in their future Social Security benefit entitlement. For more detailed information about this law, and to view a copy of the statement concerning employment in a job not covered by Social Security (Form SSA-1945), please click on the link below:
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