Get Report Of Separation And Advance Payroll Information - Calpers Ca

Filling out the Report Of Separation And Advance Payroll Information form is a crucial step for members applying for disability retirement with CalPERS. This guide provides clear and user-friendly instructions to help you complete the form accurately and efficiently.

Follow the steps to accurately complete the form online.

1. Click the ‘Get Form’ button to access the document and open it in the editor.
2. In Section 1, provide the name of your employing agency. Next, enter your full name as the member, and include either your Social Security Number or CalPERS ID for identification purposes.
3. In Section 2, fill in the requested retirement date using the mm/dd/yyyy format. Specify your last day on pay status, separation date, and termination date, also in mm/dd/yyyy format.
4. If applicable, record the beginning and ending dates of any leave of absence with compensation. Indicate the type of compensation during this leave.
5. Clarify the difference, if any, between the date of separation and the last day on pay status.
6. In Section 3, calculate your unused sick leave. Record the total accumulated hours of unused sick leave and convert it into days using the appropriate conversion factor. Enter your calculations to three decimal places.
7. In Section 4, the signature line should be completed by a payroll officer. Include their title and date to certify the information provided.
8. After filling out the form completely and accurately, you can save your changes. Consider downloading a copy for your records, and print or share the form as necessary.

Take the first step towards your retirement today by completing the Report Of Separation And Advance Payroll Information form online.