PDF
Word
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
for the current year.
Form PERS-BSD-369-D Disability Retirement Election Application - California
What Is Form PERS-BSD-369-D?
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 Form PERS-BSD-369-D?
A: Form PERS-BSD-369-D is the Disability Retirement Election Application for California public employees.
Q: Who is eligible to use Form PERS-BSD-369-D?
A: Form PERS-BSD-369-D is for use by California public employees who are applying for disability retirement benefits.
Q: What information is required on Form PERS-BSD-369-D?
A: Form PERS-BSD-369-D requires information such as the employee's personal details, employment history, medical condition, and declaration of disability.
Q: What is the deadline for submitting Form PERS-BSD-369-D?
A: The deadline for submitting Form PERS-BSD-369-D varies depending on the individual's circumstances. It is recommended to contact CalPERS for specific deadline information.
Form Details:
- Released on December 1, 2020;
- 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 fillable version of Form PERS-BSD-369-D 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 Disability Retirement Election Application - California
1
2
3
4
5
6
7
8
9
10
11
12
13
