Retirement Plan Office

There are many forms available at the Retirement Office designed to help you over those important moments of your career.

These have been made available here on the Retirement website for easy access, but if you also want a paper copy please let us know.

Forms

 

Active Members

Application for Retirement

Withdrawal of Application for Retirement

Additional Contributions

Application for Supplemental Family Death Benefit

Disability FAQs, Claim Form, and Doctor's Certification

Discontinuance of Supplemental Family Death Benefit

Registration of Domestic Partnership

Termination of Domestic Partnership

Uniform Statutory Form Power of Attorney

 

Retired Members

Discontinuance of Supplemental Family Death Benefit

Electronic Direct Deposit

Form W-9

Request for Change of Address

2017 Federal Tax Table

2017 California Tax Table

Tax Withholding Forms (These links will redirect you from this website)

Form W-4P

EDD Form DE 4P

Termination of Domestic Partnership

Uniform Statutory Form Power of Attorney

 

  
Although this document discusses the Plan in some detail, if there are any conflicts, real or apparent, between this document and the City Charter or the Plan, the terms of the Charter and the Plan will at all times be the final authority. Therefore before relying on provisions described in this document or taking any action which will affect your future welfare, you and your beneficiaries are urged to consult the Retirement Plan Office for the specific terms of the Plan in any situation.