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Second Tier Benefit Election Package - CalPERS

State Miscellaneous & Industrial Members Second tier Benefit Election Package This page intentionally left blank to facilitate double-sided printing. Receipt of Retirement Information Acknowledgement 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442. Section 1 About You When completing this form, I have received the information and Election Package on the state miscellaneous or industrial first tier (2% at 55, be sure to clearly print 2% at 60, or 2% at 62 as applies to my retirement account) and state Second tier ( at 65 or at 67. with a ballpoint pen or as applies to my retirement account) retirement formulas. c Yes c No type your information. To make a correction, line Name of Member (First Name, Middle Initial, Last Name) Social Security Number or CalPERS ID. through the error and initial the change. Member Signature Date (mm/dd/yyyy).

6. 888 CalPS (or 888-225-7377) FIRST TIER ENROLLMENT BASED ON . YOUR CalPERS RETIREMENT BENEFIT ENROLLMENT LEVEL. Retirement benefit enrollment levels are governed by the provisions set . forth in the Public Employees’ Retirement Law. …

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