Active Members

• Request for Service Credit Purchase Estimate
• Public Service Purchase Program
  
  • Application to Purchase Public Service
  • Application to Purchase Military Service
    
• Beneficiary Designation
  • Tier 2 - Beneficiary Designation Form
  • Tier 3 - Beneficiary Designation Form
  • Tier 4 - Beneficiary Designation Form
  • Tier 5 - Beneficiary Designation Form
  • Tier 6 - Beneficiary Designation Form
  • DROP - Beneficiary Designation Form
• Refund of Contributions
  • Tier 3 - Request for Refund of Contributions Form
  • Tier 5 - Request for Refund of Contributions Form
• Opt-In Election
  • Dispute Resolution Committee Application
• DROP

    DROP Entry:

  • Instructions for Your DROP Entry Appointment
    
  • DROP Revocation Notice 
  • DROP Beneficiary Designation  

  Do not sign, initial or date any of the following DROP Entry forms.
  An LAFPP Staff Member must witness your signature and date.

  • DROP Application
  • Application for Service Pension Benefits
  • Final Average Salary Designation (Tiers 3, 4, 5)
  • Prior Assignment Pay / Prior Hazard Pay 
  • Optional Pension for Qualified Surviving Spouse/Domestic Partner (Tiers 3, 4, 5)

  
  

  DROP Exit:

  • Rollover Information Form
  • Distribution Election Form (Lump-Sum Payment)
  • Distribution Election Form (Rollover)
• Domestic Partnerships
• Declaration of Domestic Partnership
• Notice of Termination of Domestic Partnership
• Disability
• Application for Disability Pension Benefits Form
• Applicant’s Statement of Disability and Service Connection Form
• Authority to Release Medical and Psychiatric Records Form
• Authority to Release Employment Records Form
• Authority to Release Substance Abuse Patient Records Form
• Statutory Power of Attorney
• Statutory Power of Attorney Form 

Retired Members / Qualified Survivors

• 2011 Medicare Part B Premium Increase Form
• Retired Health Insurance Premium Reimbursement Claim Form
• Certification of Dependent Status for Health Coverage
• Income Tax Withholding
• Direct Deposit
• Change of Address for Pensioners
• Declaration of Domestic Partnership
• Notice of Termination of Domestic Partnership
• Statutory Power of Attorney Form 

Contract Administration

• Contractor Disclosure Policy
  • Contractor Disclosure Policy - Reporting Form