Form PERS-BSD-369-D-ER Employer-Originated Disability Retirement Application - California

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form PERS-BSD-369-D-ER for the current year.

Form PERS-BSD-369-D-ER Employer-Originated Disability Retirement Application - California

What Is Form PERS-BSD-369-D-ER?

This is a legal form that was released by the California Public Employees' Retirement System - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the PERS-BSD-369-D-ER form?
A: The PERS-BSD-369-D-ER form is an Employer-Originated Disability Retirement Application used in California.

Q: Who is the form for?
A: The form is for employees who are applying for disability retirement in California.

Q: What is the purpose of the form?
A: The form is used to initiate the disability retirement process for eligible employees.

Q: Are there any fees associated with submitting the form?
A: No, there are no fees associated with submitting the PERS-BSD-369-D-ER form.

Q: What documents are required to be submitted with the form?
A: The specific documents required may vary depending on individual circumstances. It is best to consult the instructions provided with the form or contact CalPERS directly for guidance.

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Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the California Public Employees' Retirement System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PERS-BSD-369-D-ER by clicking the link below or browse more documents and templates provided by the California Public Employees' Retirement System.

Download Form PERS-BSD-369-D-ER Employer-Originated Disability Retirement Application - California

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