Projected date of service purchase
<mm/dd/yyyy> (full century required):
Date of Birth <mm/dd/yyyy>:
What type of service
would you like to purchase? :
How many months of service
do you want to purchase? <###>:
Enter any previous months of service you may have within the FPPA Statewide Defined Benefit Plan
<###>:
Highest annual base salary or projected highest annual base salary
for future purchase? <######.##>:*
*
The salary used to calculate the service credit purchase cost is the highest rate of pay
(base salary) for any calendar year in the plan. Typically this is a member's current base salary
at the time of purchase. If you plan to purchase at some date in the future, you can estimate what
your highest future annual base salary may be at the time of a future purchase.