California Public Employees' Retirement System Forms

This form is used for reporting a disability in the state of California. It is typically completed by a physician to provide information about an individual's disability and its impact on their ability to work or perform daily activities. The report is often required for various disability benefits or accommodations.

This form is used for designating a beneficiary to receive a lump sum payment after retirement for nonmembers in California.

This form is used for designating a lump-sum beneficiary to receive retirement benefits after the employee's retirement in California.

This document is used for applicants who are applying to a public agency in California. It is a questionnaire that collects information about the applicant.

This form is used for reporting the separation for death of an employee and requesting payroll information in the state of California.

This document is used to request information about the cost of service credit for the Alternate Retirement Program in California.

This form is used for the CalPERS Disabled Dependent Health Benefit in California. It is a member questionnaire for individuals who are seeking this benefit.

This form is used for individuals in California who want to request permission to work while receiving disability or industrial disability retirement benefits.

This form is used for collecting information from applicants interested in attending schools in California. It helps schools gather details about the applicant's background, interests, and academic qualifications.

This form is used for service verification purposes in the state of California. It is used to validate an individual's employment or income in order to verify their eligibility for certain services or benefits.

This document is used for making tax withholding elections in the state of California.

This document is an agreement and election form for pre-funding other post-employment benefits through CalPERS in California.

This form is used for employers in California to make contributions by check towards post-employment benefits agreement and elect to prefund other benefits.

This form is used for certifying a trust and requesting the continued payment of a monthly allowance in California. It is primarily used for administrative purposes related to trusts and ongoing payments.

This Form is used for providing survivor and beneficiary information for the Judges' Retirement System II in California.

This document is for applying to the Judges' Retirement System II in California for defined benefits.

This document provides a summary of health benefits offered in California. It outlines the different types of coverage available, as well as the costs and benefits associated with each plan. It is a useful resource for understanding the health insurance options in California.

This document is used for agreeing and choosing to pre-fund employer contributions to a defined benefit pension plan in California.

This Form is used for requesting disbursement of retiree benefits from the California Employer's Retiree Benefit Trust.

This form is used for designating a nonmember lump-sum beneficiary for post-retirement benefits through CalPERS in California.

This Form is used for reciprocal self-certification in the state of California. It is used for individuals who wish to certify their eligibility to operate commercial motor vehicles in California based on their existing out-of-state CDL.

This form is used for designating a lump-sum beneficiary after retirement in the state of California.