CalPERS Nonmember Service Retirement Application
This file is a Nonmember Service Retirement Election Application from CalPERS. It provides necessary information and instructions for retirees in California. Users should carefully fill out all sections to ensure their retirement benefits are calculated correctly.
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How do I fill this out?
To fill out the Nonmember Service Retirement Application, start by providing your personal information as requested. Make sure you accurately complete each section, especially your retirement date and payment options. Review the information thoroughly before submitting to ensure accuracy.

How to fill out the CalPERS Nonmember Service Retirement Application?
1
Start by entering your personal details including name and social security number.
2
Complete your retirement date and payment option selection.
3
Fill out beneficiary information as applicable.
4
Review the completed application for accuracy.
5
Submit the application following the provided instructions.
Who needs the CalPERS Nonmember Service Retirement Application?
1
Individuals planning to retire from their nonmember status with CalPERS.
2
CalPERS members who have undergone a dissolution of marriage or domestic partnership and need to update their retirement information.
3
Beneficiaries of CalPERS members seeking to claim benefits upon the member's death.
4
Individuals who wish to designate new beneficiaries for their retirement benefits.
5
Anyone seeking clarity on their retirement payment options from CalPERS.
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What are the instructions for submitting this form?
To submit the Nonmember Service Retirement Application, you can choose from several methods. Mail the completed form to the CalPERS Centralized Membership Services Division at P.O. Box 942703, Sacramento, CA 94229-2703. Alternatively, you may send your application via fax to (916) 795-4010. Ensure to double-check that all pages of your application are included upon submission.
What are the important dates for this form in 2024 and 2025?
Important deadlines for the CalPERS Retirement Application must be adhered to properly. Ensure to submit the application within 120 days prior to your intended retirement date. Mark your calendar with these critical dates to avoid any delays in processing your retirement benefits.

What is the purpose of this form?
The purpose of the Nonmember Service Retirement Application is to initiate the retirement process for individuals not currently covered under CalPERS membership. By completing this application, users can ensure their retirement benefits are calculated and distributed correctly. It serves as a formal request for retirement and provides vital information about the retiree, including beneficiary designations.

Tell me about this form and its components and fields line-by-line.

- 1. Your Name: Enter your full name as it appears on your Social Security card.
- 2. Social Security Number or CalPERS ID: Provide your unique identification number.
- 3. Retirement Date: Specify your anticipated date of retirement.
- 4. Payment Option: Select the retirement payment option that best suits your needs.
- 5. Beneficiary Information: Enter beneficiary names and their relationship to you.
What happens if I fail to submit this form?
Failure to submit the application may result in delays in processing your retirement benefits, which could impact your financial planning. It is essential to complete and submit the application accurately and on time to avoid unnecessary complications.
- Delays in Benefits: Submitting the form late or incorrectly can delay your retirement benefits.
- Inaccurate Information: Incorrectly completed forms may lead to errors in benefit calculation.
- Loss of Eligibility: Failure to submit within timeframes could impact your eligibility for retirement benefits.
How do I know when to use this form?

- 1. Retirement Application: Use this form to apply for your retirement benefits.
- 2. Beneficiary Designation: Update or designate new beneficiaries based on your current life situation.
- 3. Changing Payment Options: Indicate a change in preferred retirement payment options due to personal preferences.
Frequently Asked Questions
How can I edit my Nonmember Service Retirement Application?
You can edit your application by opening it in PrintFriendly and using the edit tools provided.
What steps do I need to take to fill out the application?
Simply input your details as prompted and ensure all sections are complete before submission.
Can I share my completed application with others?
Yes, you can easily share your PDF via email or by creating a shareable link.
Is it possible to sign my application electronically?
Absolutely, you can add your electronic signature to the PDF before submission.
What happens if I forget to include my beneficiary details?
It's crucial to provide beneficiary information; missing details may delay your application.
Can I download my edited application?
Yes, after editing, you can download the updated PDF to your device.
Do I need to mail the application after editing?
Follow the submission instructions provided in the application to ensure proper processing.
What if I make a mistake while filling out the form?
You can easily return to the edit mode on PrintFriendly to correct any errors.
Is there a limit to the number of beneficiaries I can add?
You can name multiple beneficiaries as needed, just ensure clarity in their designations.
Can I revisit and edit my application after saving?
Yes, you can return to the document at any time to make further edits.
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