Get Calpers Pers Bsd 92 Form

This guide aims to assist users in successfully completing the CalPERS Pers Bsd 92 Form for disability retirement. Each section of the form will be explained step-by-step to ensure clarity and accuracy in the online application process.

Follow the steps to effectively complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Information About You' section, enter your full name as it appears on your Social Security card, Social Security number, mailing address, birth date, gender, and contact numbers.
3. In the 'Retirement Information' section, provide your chosen retirement date and employer's name. Include your position title and any applicable final compensation periods.
4. If applicable, complete the 'Workers' Compensation Information' section with details about your claim, including the carrier's name and contact details.
5. In the 'Disability Information' section, detail your specific disability, how it occurred, treating physician's information, and how it affects your job performance.
6. Select your retirement payment option and fill out the corresponding beneficiary sections as required. Be sure to review and understand the implications of each option.
7. Complete the 'Retired Death Benefit' section by designating a beneficiary for this benefit.
8. In the 'Last Day on Payroll' section, enter the last day you received compensation.
9. Employers should complete the 'Employer Certification' section if applicable. This is necessary for service pending applications.
10. Finally, sign and date the application. Notarization is required unless specific conditions apply concerning your spouse's or domestic partner's signature.
11. Once all sections are complete, review the application for accuracy, save your changes, and follow the process to submit the form online.

Start completing your CalPERS Pers Bsd 92 Form online today for a smoother transition into your retirement.