California Public Employees' Retirement System Forms

This form is used for disabled dependents to provide information and medical reports for health and/or dental benefits in California.

This form is used for electing a mandatory refund with required minimum distribution from the California Public Employees' Retirement System (CalPERS).

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

This Form is used for designating a lump-sum beneficiary for post-retirement individuals who are not members of CalPERS (California Public Employees' Retirement System).

This Form is used for designating a beneficiary to receive a lump-sum payment upon retirement in the state of California.

This form is used for requesting the conversion of past second-tier service in California for members of myCalPERS.

This Form is used for retired annuitants who receive disability retirement benefits to self-certify their status in California.

This Form is used for claiming a refund for unclaimed property in California.

This form is used for submitting an application for service retirement in the state of California. It is specifically designed for members of the California Public Employees' Retirement System (CalPERS) to request retirement benefits.