PASA Intake Forms

You can send your information and documents to us by mail to PASA, 500 W. Cummings Park Suite 2500, Woburn, MA 01801; by confidential fax to 978.600.1487, or through our secure upload links below. If you have appraisal questions, email Michael Foley at For QDRO-related questions, email and a QDRO Specialist will contact you. Please note that our service area is limited to the New England states only. To protect the privacy of our clients, please do not send personal information by unencrypted email.

To Request an Appraisal:

Please download and complete our simple Appraisal Request Form. Provide a recent benefit statement showing a monthly amount payable at normal retirement age. For a Massachusetts State Employees' Retirement Service plan, please instead provide a year by year contribution history (through statement or last five years' W-2s) and a recent pay stub. Please be sure to indicate if it is to be an exclusive engagement or joint engagement.

To Request a QDRO:

Please download and complete our QDRO Request Form. Provide a copy of the relevant pages from the Separation Agreement (first, last and signature page; and exhibit regarding retirement assets), Final Decree or Judgment of Divorce Nisi, and account statement for the plan (dated as of the valuation date, if applicable). We will respond with an engagement letter by email to the attorneys listed on the QDRO Request Form (or parties if pro se is checked). If you are not an attorney, please read our non-attorney disclosure and information.

Download our fillable pdf file. This file requires Adobe Reader.
Appraisal Request - PASA, Inc.pdf

Download our fillable pdf file. This file requires Adobe Reader.
QDRO Request - PASA, Inc.pdf

Appraisal-related Documents Only

QDRO-related Documents Only

You will be asked for your name and email address for tracking/identification purposes only. We will review your files and ensure they are acted on as needed. Documents are sent securely and confidentially directly to PASA, Inc. via Citrix ShareFile.
PASA, Inc. provides valuation services and document preparation services at your specific direction. We are not a law firm or a substitute for an attorney or law firm. Any opinion provided by us is not to be construed as legal advice or tax/accounting advice.