California Public Employees' Retirement System Forms

This document is an agreement and election form that allows employers in California to set aside funds for the payment of other post-employment benefits for their employees. It outlines the terms and conditions of the prefunding arrangement and helps employers properly manage and fund these benefits.

This document is used for employers in California to make contribution by check under an agreement and to prefund other post-employment benefits.

This document certifies the funding policy for the California Employers' Pension Prefunding Trust (CEPPT) in California. It outlines the guidelines and regulations for funding the pension trust.

This document grants authority to request disbursements in California.

This form is used for group continuation coverage (COBRA) in California.

This document authorizes the request for disbursements from the California Employers' Pension Prefunding Trust (CEPPT) in California.

This form is used for authorizing the use of the Automated Clearing House (ACH) method for electronic payments in the state of California.

This Form is used for applying for nonmember service retirement election in California.

This type of document is used for the physician to re-evaluate a patient's current disability in California.

This form is used for judges in California to apply for retirement benefits.

This form is used for retirees in California who are undergoing a disability re-evaluation by CalPERS.

This Form is used for requesting pay off information for service credit purchase from CalPERS in California.

This document is used for collecting information from students applying to schools in California.

This Form is used for California National Guard Members in California to choose optional membership.

This form is used for employers in California to initiate the forfeiture of employee benefits.

This form is used for physicians in California to report on a patient's disability.

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

This form is used for reinstatement from disability/industrial disability retirement application in California.

This Form is used for requesting information on the cost of service credits for the Alternate Retirement Program Service in California.

This form is used for requesting information on service credits for military leave of absence in California.