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Permissive Membership ES 0350 (Rev. 6/11) California State Teachers Retirement System P.O. Box 15275, MS 17 Sacramento, CA 95851-0275 800-228-5453 CalSTRS.com PERMISSIVE ELECTION AND ACKNOWLEDGEMENT.

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How to fill out the Es0350 Fillable Form online

Filling out the Es0350 Fillable Form online is a straightforward process designed to facilitate your election for membership in the California State Teachers’ Retirement System (CalSTRS) Defined Benefit Program. Follow the steps outlined below to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the Es0350 Fillable Form online.

  1. Press the ‘Get Form’ button to access the Es0350 Fillable Form and open it in your preferred browser.
  2. In the 'Employee Certification' section, fill in your name, client ID or social security number, mailing address, position title, city, state, email address, and home telephone. Ensure that the email address entered is accurate, as it will be used for official communication.
  3. Review the section titled 'Please leave this section blank.' This section does not require any input from you.
  4. In the voting section, indicate your election by checking the box for either 'I elect membership' or 'I decline membership at this time.' Make sure to select only one option.
  5. Sign and date the form in the designated fields below the voting section. Your signature indicates your understanding of the irrevocability of your election.
  6. If applicable, have the employer complete the 'To be completed by employer' section, which includes the official’s signature, title, and additional identifiers.
  7. Once all fields are filled out, review the entire form for accuracy. Save your changes, then download, print, or share the completed Es0350 Fillable Form as needed.

Complete your Es0350 Fillable Form online today to ensure your membership election with CalSTRS is processed without delay.

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