Find all Retired member forms here.

DOMESTIC PARTNERSHIPS

Declaration of Domestic Partnership
Notice of Termination of Domestic Partnership

STATUTORY POWER OF ATTORNEY

Statutory Power of Attorney Form

OPEN ENROLLMENT

2018 Special Retired Enrollment Form
Cancellation of Payroll Deduction Card
Kaiser Senior Advantage Information
Deduction Card
Kaiser Group Election Enrollment Form
Kaiser Senior Advantage Enrollment Form
Verification of Dependents
LAPPL - Delta Dental Enrollment Form

GENERAL

Request Information to Purchase Survivor Benefits Form
Direct Deposit Form
Income Tax Withholding Form
Change of Address Form
How to Access CPI Data 2018
Pension Verification Letter Request Form

MEDICAL AND DENTAL BENEFITS

Retired Health Insurance Premium Reimbursement Claim Form