CalPERS Special Power of Attorney Form Instructions
This file provides a Special Power of Attorney form specifically for CalPERS retirement-related business. It outlines the necessary sections to complete the form accurately for appointing an agent. This document ensures the legal delegation of authority regarding retirement benefits under California law.
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How do I fill this out?
Filling out the CalPERS Special Power of Attorney form involves entering personal information and choosing your attorney-in-fact. Make sure to follow the instructions carefully and check all the necessary boxes. Review the form before submission to ensure all details are accurate.

How to fill out the CalPERS Special Power of Attorney Form Instructions?
1
Gather all necessary personal and attorney-in-fact information.
2
Fill in your name, Social Security Number or CalPERS ID.
3
Designate your attorney-in-fact and their contact details.
4
Specify the authority granted to your attorney-in-fact.
5
Review the completed form for accuracy before submission.
Who needs the CalPERS Special Power of Attorney Form Instructions?
1
Individuals managing retirement accounts due to relocation or work changes.
2
Retirees needing assistance with financial decisions concerning CalPERS benefits.
3
Family members looking to assist elderly or incapacitated relatives.
4
Attorneys representing clients in retirement planning.
5
Any CalPERS member requiring someone to act on their behalf for retirement-related matters.
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What are the instructions for submitting this form?
To submit the completed CalPERS Special Power of Attorney form, members can send it via mail to the appropriate CalPERS office address. Additionally, forms can be submitted through fax to CalPERS at (877) 249-7442. It is advisable to check CalPERS’ website for specific submission directions relevant to your situation and to ensure timely processing of your request.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for the CalPERS Special Power of Attorney form in 2024 and 2025, as it can be used at any time when a member needs to appoint an attorney-in-fact regarding their retirement matters. It is essential to ensure the form is updated and submitted as circumstances change.

What is the purpose of this form?
The purpose of the CalPERS Special Power of Attorney form is to empower another individual to act on behalf of the member regarding their retirement benefits. This legal document is crucial in ensuring that decisions related to a member's finances and health benefits are made according to their wishes, particularly in instances where they may not be able to do so themselves. By designating an attorney-in-fact, members can have peace of mind knowing their retirement affairs will be managed by someone they trust.

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

- 1. Name of Principal: Full name of the individual granting the power of attorney.
- 2. Social Security Number or CalPERS ID: Identification number used for verification.
- 3. Attorney-in-Fact Details: Information about the designated agent including name, relationship, and address.
- 4. Powers Granted: Specific authority being assigned to the attorney-in-fact.
- 5. Duration: Indicates how long the power of attorney will remain in effect.
What happens if I fail to submit this form?
If the CalPERS Special Power of Attorney form is not submitted, the member might face difficulties in having their retirement matters managed effectively. Failure to submit may result in someone not having the legal ability to act on behalf of the member, which can complicate financial transactions and decisions.
- Inability to Appoint an Agent: Without submitting the form, there is no legal authority granted to another person.
- Potential Financial Consequences: Retirement decisions could be delayed or handled improperly due to lack of authorization.
- Legal Hurdles: Family members may face challenges in managing the member's affairs during incapacitation.
How do I know when to use this form?

- 1. Medical Incapacity: In cases of medical emergencies where the member cannot make decisions.
- 2. Relocation: When members move and require someone to manage their retirement in a new location.
- 3. Retirement Planning: To ensure all financial decisions are handled efficiently by a trusted individual.
Frequently Asked Questions
What is the purpose of the CalPERS Special Power of Attorney form?
This form allows individuals to appoint an agent to manage their retirement benefits according to California law.
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Is there a way to sign my PDF on PrintFriendly?
Yes, you can add your signature directly to the document after editing.
What information do I need to complete the form?
You will need your personal details, your attorney-in-fact's information, and specific authorizations.
Who can act as my attorney-in-fact?
Any adult individual can serve as your attorney-in-fact as long as they are reliable and trustworthy.
How long is the power of attorney effective?
It remains effective until you revoke it or you pass away.
Can I revoke my power of attorney?
Yes, you can revoke your power of attorney at any time through a written notice.
Do I need witnesses for this form?
Yes, the form must be signed and acknowledged either before a notary public or by two witnesses.
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