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City of Fresno

Benefits

Forms

Active Employees

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Beneficiary Designation Form (file size: 28 KB)

Retirees

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Change of Address (file size: 86 KB)

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Direct Deposit Notification (file size: 112 KB)

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Earnings Report Form (file size: 49 KB)

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W-4P Federal Withholdings Certificate for Pension or Annuity Payments (file size: 257 KB)

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DE-4P State of California Withholdings Certificate for Pension or Annuity Payments (file size: 57 KB)

Retirement Board

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Request to Speak (file size: 38 KB)

Community Property/Divorce

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Community Property Guidelines (file size: 135 KB)

Sample Domestic Relations Orders:

Fire and Police system - Tier 1

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FP - Tier 1 Active Combined (file size: 33 KB)

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FP Tier 1 Active Separate (file size: 28 KB)

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FP - Tier 1 Retired Options 2 and Option 3 (file size: 35 KB)

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FP - Tier 1 Retired Unmodified - Option 1 (file size: 34 KB)

Fire and Police system - Tier 2

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FP - Tier 2 Active Combined (file size: 23 KB)

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FP Tier 2 Active Separate (file size: 19 KB)

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FP - Tier 2 Retired Options 2 and Option 3 (file size: 20 KB)

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FP - Tier 2 Retired Unmodified - Option 1 (file size: 19 KB)

Reciprocity

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Reciprocity Handbook (file size: 156 KB)

- Documents above require Adobe Acrobat Reader.

 

 

 

FP - Tier 1 Retired Unmodified or Option 1FP - Tier 1 Retired Unmodified or Option 1FP - Tier 1 Retired Unmodified or Option 1FP - Tier 1 Retired Option 2 or Option 3FP - Tier 1 Retired Option 2 or Option 3FP - Tier 1 Retired Option 2 or Option 3FP - Tier 1 Actived CombinedFP - Tier 1 Actived CombinedFP - Tier 1 Active SeparateFP - Tier 1 Active SeparateFP - Tier 1 Active SeparateFP - Tier 1 Active Separate
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