Pers eamd 801 2026

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  1. Click ‘Get Form’ to open the pers eamd 801 in the editor.
  2. In Section 1, enter your Member Name, Date of Birth, and CalPERS ID. Select whether you have been a member of a qualifying public retirement system.
  3. If applicable, proceed to Section 2. List the names of any qualifying public retirement systems you are a member of, starting with the most recent. Include Membership Dates and Separation Dates as required.
  4. In Section 3, read the certification statement carefully. Sign and date the form to confirm that all information is accurate before submitting it to your personnel office.

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