Find all Qualified Survivor forms here.

DOMESTIC PARTNERSHIPS

Declaration of Domestic Partnership
Notice of Termination of Domestic Partnership

GENERAL

Survivor Benefits Handbook
Change of Address Form
Direct Deposit Form
How to Access CPI Data
California State Income Tax Withholding Form
Federal Income Tax Withholding Form
Overpayment Collection Consent Form
Overpayment Collection Consent Form - Future
Request Information to Purchase Survivor Benefits Form
Surviving Domestic Partner Affidavit Declaration
Surviving Spouse Affidavit Declaration
Survivor Application
Survivor Information Sheet

MEDICAL AND DENTAL BENEFITS

Retired Health Insurance Premium Reimbursement Claim Form
Certification Of Dependent Status Form