All Forms

2025 California Tax Withholding Certificate

2025 Federal Tax Withholding Certificate

Beneficiary Designation Form

Address Change Form (Deferred Members)

Address Change Form (Retired Members)

Direct Deposit Authorization Form

Disability Retirement Application

Domestic Relations Order (DRO) Model A (Active Members) Form

Earnings Code Worksheet

Estimate Request Form

Medicare Part B Reimbursement Form

Membership Certification Form

Membership Waiver Form

Retirement Application Request Form

Return to Active Membership Application

RPESJC Deduction Form

Service Credit Purchase Request Form

Special Power of Attorney Form

United Way Deduction Form