Disability Retirement Election Application
Other California Public Retirement Systems. If you are a member of a defined benefit plan with a California public retirement system other than CalPERS, please complete the following: Name of Reciprocal System Last Day of Employment With Reciprocal System (mm/dd/yyyy) Retirement Date With Reciprocal System (mm/dd/yyyy) Please enter the last day
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Data Element Definitions for Contribution Reporting
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