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CL 200-056-15 REVISED SERVICE PRIOR TO MEMBERSHIP SERVICE CREDIT REQUEST FORM - calpers ca 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out your personal information at the top of the form, including your name, address, and contact details.
- In the employer certification section, ensure that you provide accurate payroll detail information for each pay period. This includes service period dates, position titles, pay rates, hours worked, and earnings per pay period.
- Answer the new questions regarding retirement plan contributions during the SPM period and whether the service was rendered as an independent contractor or through a third party.
- Once all fields are completed accurately, review your entries for any errors before submitting. Ensure that an authorized employer representative certifies the form.
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