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The California CalPERS Power of Attorney form is a legal document that allows a principal to designate an agent to manage decisions related to retirement-specific financial and health benefits. It applies to members of the California Public Employees' Retirement System (CalPERS), as well as those in the Judicial Retirement Systems (JRS I and JRS II) and the Legislators’ Retirement System (LRS). This form is specifically tailored to cover situations unique to retirement benefits, emphasizing the agent’s role in acting in a fiduciary capacity and outlining the scope of authority.
Obtain the Form: Access the form via the CalPERS website or request a physical copy from their office.
Principal Details: Start by entering the principal’s full name, contact information, and CalPERS member ID.
Agent Assignment: Specify the agent by providing their full name, contact details, and relationship to the principal. It's critical to choose someone trustworthy as they’ll manage sensitive financial and personal information.
Authority Scope: Clearly define the extent of the agent’s authority, ensuring to tick only those areas they’re permitted to manage, such as financial or health-related decisions within CalPERS.
Signatures and Notarization: The form must be signed by the principal in the presence of a notary. It's advisable also to have the agent’s acknowledgment noted, even if not legally required.
This form serves to facilitate decision-making without the need for principal intervention, particularly useful if the principal becomes incapacitated. It’s legally binding once notarized, granting the agent authority within the bounds specified. However, the agent can't make medical decisions, which remains the domain of a separate healthcare directive.
In practice, an agent might use the California CalPERS Power of Attorney for actions such as filing retirement benefit claims, making investment decision adjustments, or changing health benefit preferences. For instance, if a principal is abroad or incapacitated, the agent can manage their monthly benefit payments or request necessary documentation directly from CalPERS.
Primarily used by members of the state retirement systems and their designees, this form benefits those wishing to ensure continuity in benefit management. It’s particularly useful for older retirees or those with complex benefit arrangements requiring regular oversight.


The form adheres to California-specific regulations. This includes compliance with state rules surrounding fiduciary duties and limitations of power. Each provision within the document is carefully crafted to comply with California law, emphasizing retirement and health benefits unique to the state's public employees.
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Apr 16, 2026 A CalPERS special power of attorney allows you to designate a representative or agent, known as your attorney-in-fact, to conduct your retirement affairs.Read more
Sep 1, 2017 This publication will help you understand the CalPERS Special Power of. Attorney form and the importance of having one on file.Read more