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  • Forms Publications - CalPERS
    Forms Publications Browse, download, or print any form, publication, or other documents you may need Forms are subject to our Privacy Notice and Notice of Privacy Practices To order a publication: Members: contact us by phone Employers: log in to myCalPERS and select Requests to access the Publication Ordering List
  • Form: Direct Deposit Authorization - CalPERS
    You can view and print your benefit statement, which shows your total deposit amount, including any reimbursements or authorized deductions at my calpers ca gov
  • CalPERS Service Retirement Application Form (CalPERS-1206)
    You can view and print your benefit statement, which shows your total deposit amount, including any reimbursements or authorized deductions, at my calpers ca gov
  • Address Change Authorization - CalPERS
    If you are moving from another state to California or your new address is outside of California, consider updating your California state income tax withholding through your myCalPERS account or the Tax Withholding Election available on www calpers ca gov
  • Special Power of Attorney Form - CalPERS
    Attorney(s)-in-fact may not conduct business by accessing your online my|CalPERS account All contact with CalPERS on your behalf must be made by telephone, by written correspondence, or by visiting a Regional Ofice
  • Rollover Certification Form - CalPERS
    This Rollover Certification Form must be completed to enable the California Public Employees’ Retirement System (CalPERS) to accept a rollover or in service plan-to-plan transfer for the purchase of service credit
  • Service Retirement Election Application - CalPERS
    You can submit your paper or online application when you are within 120 days from your retirement date For more information about your retirement benefits, visit our website at www calpers ca gov
  • Health Benefits Plan Enrollment Form for Retirees and . . . - CalPERS
    State retirees complete a Dental Enrollment Change Request form from the California Department of Human Resources (CalHR) or submit a written request to CalPERS
  • Retirement Allowance Estimate Request - CalPERS
    This is a request for an estimate of your potential CalPERS retirement benefit amounts You must be within one year of your anticipated retirement date to use this form
  • Pre-Retirement Lump Sum Beneficiary Designation - CalPERS
    Please order or download your Member Benefit Publication from our website www calpers ca gov or see your personnel officer for a description of the benefits The benefits are payable to the following beneficiaries:





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