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Los Angeles Fire and Police Pensions

LAFPP
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Active Member Forms

Post August 31, 2018

Find all Active Member forms here. 

BENEFICIARY DESIGNATION

Tier 2 - Beneficiary Designation Form
Tiers 3 - 6 - Beneficiary Designation Form

CHANGE OF E-EMAIL ADDRESS

Change of E-mail Address Form

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

STATUTORY POWER OF ATTORNEY

Statutory Power of Attorney Form

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Resources

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Contact Us

701 East 3rd Street, Suite 200
Los Angeles, CA 90013
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Local: (213) 279-3000
Toll-Free: 844-88-LAFPP
TTY: (213) 628-7713
Email: pensions@lafpp.com
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