Active Member Forms
Find all Active Member forms here.
BENEFICIARY DESIGNATION
Tier 2 - Beneficiary Designation Form
Tiers 3 - 6 - Beneficiary Designation Form
CHANGE OF E-EMAIL ADDRESS
DOMESTIC PARTNERSHIPS
Declaration of Domestic Partnership
Notice of Termination of Domestic Partnership
DISABILITY
Tiers 3-6 Disability Pension Information Booklet & Application
Disability Pension Survivor Application
OPT-IN ELECTION
Dispute Resolution Committee Application
PURCHASE SERVICE CREDIT
Request for Service Credit Purchase Estimate
Application to Purchase Public Service
Application to Purchase Military Service
REFUND OF CONTRIBUTIONS
Tier 3 - Request for Refund of Contributions Form
Tier 5 - Request for Refund of Contributions Form
Tier 6 - Request for Refund of Contributions Form
REQUEST FOR CONTRIBUTIONS STATEMENT OR DIVORCE CONTRIBUTION LETTER
Request for Contributions Statement/Divorce Contribution Letter
SERVICE RETIREMENT
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
Federal Income
Tax Withholding Form
Service Pension Rescission Notice Form