Retired Member Forms

Retired Member Forms

Find all Retired member forms here. MyLAFPP is the preferred secure option for sending your documents to LAFPP. To find out more about and to access MyLAFPP, please click here.

Frequently Asked Forms

Change of Address Form

Federal Income Tax Withholding Form

Health Insurance Premium Reimbursement (HIPR) Claim Form

Pension Verification Letter Request Form

GENERAL

California State Income Tax Withholding Form

Change of Address Form

Direct Deposit Form

E-Mail Address Submit/Change Request Form

Federal Income Tax Withholding Form

Next of Kin Form

Pension Verification Letter Request Form

Request Information to Purchase Survivor Benefit Form

Request Survivor Benefit Estimate

DOMESTIC PARTNERSHIPS

Declaration of Domestic Partnership

Notice of Termination of Domestic Partnership

MEDICAL AND DENTAL BENEFITS

Retired Health Insurance Premium Reimbursement Claim Form

STATUTORY POWER OF ATTORNEY

Statutory Power of Attorney Form