Benefits
Forms
Active Employees
-
Beneficiary Designation Form (file size: 28 KB)
Retirees
Change of Address (file size: 86 KB)
Direct Deposit Notification (file size: 112 KB)
Earnings Report Form (file size: 49 KB)
W-4P Federal Withholdings Certificate for Pension or Annuity Payments (file size: 257 KB)
DE-4P State of California Withholdings Certificate for Pension or Annuity Payments (file size: 56 KB)
Retirement Board
Request to Speak (file size: 38 KB)
Community Property/Divorce
Community Property Guidelines (file size: 135 KB)
Sample Domestic Relations Orders:
ERS - Active Combined (file size: 39 KB)
ERS - Active Separate (file size: 36 KB)
ERS - Retired Options 2 and 3 (file size: 29 KB)
ERS - Retired Unmodified - Option 1 (file size: 39 KB)
Reciprocity
Reciprocity Handbook (file size: 156 KB)
- Documents above require Adobe Acrobat Reader.