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Click ‘Get Form’ to open the calpers app in the editor.
Begin by filling out Section 1 with your name as it appears on your Social Security card, followed by your Social Security Number or CalPERS ID, and contact information.
In Section 2, provide details about your retirement, including the last day on payroll and effective retirement date. Ensure all dates are formatted as month/day/year.
Proceed to Section 3 to describe your disability. Answer all questions regarding the nature of your disability and its impact on your job performance.
In Section 5, select your Retirement Payment Option and designate beneficiaries. Make sure to complete any additional required sections based on your selected option.
Finally, review all sections for accuracy before signing in Section 11. Your signature must be notarized or witnessed by a CalPERS representative.
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Nov 16, 2020 CalPERS 2014 Pre-Retirement Non-Industrial Death rates (plus Duty-Related Death rates for. Safety Members), with the 20-year staticRead more
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