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Wuwludjoz kogil tuk vour P O Box 942715 Sacramento, CA 942292715 888 CalPERS (or 8882257377)Fax: (80 2026
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- Click ‘Get Form’ to open it in the editor.
- In Section 1, enter your first name, middle initial, and last name. Ensure accuracy as this information is crucial for identification.
- Provide your Social Security Number or CalPERS ID in the designated field to facilitate processing.
- Indicate the change you are requesting by selecting one of the options provided regarding your address.
- In Section 2, fill in your correct mailing address. Remember that if you have health coverage through CalPERS, a P.O. Box cannot be used as your mailing address.
- If applicable, provide additional details for foreign addresses including Province/Territory and Country along with the country code for telephone numbers.
- In Section 3, ensure you sign and date the form. If you are a Guardian/Conservator or have Power of Attorney, include this acknowledgment.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2016 | 4.8 Satisfied (66 Votes) |
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