Forms
Active Member Forms
Find all Active Member forms here.
- Tier 2 - Beneficiary Designation Form
- Declaration of Domestic Partnership
- Notice of Termination of Domestic Partnership
- Dispute Resolution Committee Application
- Request for Service Credit Purchase Estimate
- Application to Purchase Public Service
- Application to Purchase Military Service
- Tier 3 - Request for Refund of Contributions Form
- Tier 5 - Request for Refund of Contributions Form
- Tier 6 - Request for Refund of Contributions Form
- Statutory Power of Attorney Form
- Tiers 3-6 Disability Pension Information Booklet & Application
- Disability Pension Survivor Application
- Request for Contributions Statement/Divorce Contribution Letter
- Tiers 3 - 6 - Beneficiary Designation Form
- Change of E-mail Address Form
- Certification of Termination of Employment Relationship Form
- Application for Service Pension Form
- Final Average Salary Designation Form
- Prior Assignment / Prior Hazard Pay
- Qualified Surviving Spouse or Dependent Partner Optional Pension Election Form
- Direct Deposit Form
- California Income Tax Withholding Form
- Service Pension Rescission Notice Form
- Read more
DROP Member Forms
Find all DROP member forms here.
- DROP Beneficiary Designation Form
- Statutory Power of Attorney Form
- 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)
- Instructions for Your DROP Entry Appointment
- DROP Revocation Notice
- Final Average Salary Designation (Tier 6)
- DROP Distribution Election Request
- DROP Distribution Summary
- Special Tax Notice Regarding Your Rollover Options
- Tiers 3-6 Disability Pension Information Booklet & Application
- Disability Pension Survivor Application
- Change of Address - DROP Participants Only
- Request for Service Pension/DROP Estimate/Community Property Division
- DROP/Pension Verification Letter Request
- Read more
Retired Member Forms
Find all Retired member forms here.
- Request Information to Purchase Survivor Benefit Form
- Direct Deposit Form
- California State Income Tax Withholding Form
- Retired Health Insurance Premium Reimbursement Claim Form
- Statutory Power of Attorney Form
- Notice of Termination of Domestic Partnership
- Declaration of Domestic Partnership
- Change of Address Form
- Pension Verification Letter Request Form
- E-Mail Address Submit/Change Request Form
- How to Access CPI Data
- Request Survivor Benefit Estimate
- Read more
Qualified Survivors Forms
Find all Qualified Survivor forms here.
- Surviving Domestic Partner Affidavit Declaration
- Surviving Spouse Affidavit Declaration
- Survivor Application
- Survivor Information Sheet
- Request Information to Purchase Survivor Benefits Form
- Retired Health Insurance Premium Reimbursement Claim Form
- Notice of Termination of Domestic Partnership
- Declaration of Domestic Partnership
- California State Income Tax Withholding Form
- Direct Deposit Form
- Change of Address Form
- Certification Of Dependent Status Form
- Survivor Benefits Handbook
- How to Access CPI Data
- Read more