Get Ca Calpers Aesd-139 2011-2025

The CA CalPERS AESD-139 form is essential for individuals excluded from CalPERS membership due to their employment status. This guide provides a comprehensive overview and step-by-step instructions to assist users in completing the form effectively online.

Follow the steps to accurately complete the CA CalPERS AESD-139 form.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. In the first section, enter your Social Security number accurately as it appears on your records.
3. Fill in your current name, ensuring the last name, first name, and middle name are recorded in their respective fields.
4. Specify the name of the public agency where you are employed and include the department or school district.
5. Provide your job or position title as it is officially designated in your employment records.
6. If your appointment is temporary, indicate the approximate number of whole months that the appointment is expected to last.
7. Enter your appointment date in the designated format (DD/MM/YYYY).
8. Select the term of your appointment as either permanent or temporary.
9. Indicate your time base by selecting full-time or part-time. If part-time, specify the fraction of full time that corresponds to your work hours.
10. Review the exclusions outlined in the form to confirm that your employment fits one of the specified categories for exclusion from CalPERS membership.
11. If necessary, provide details about contract exclusions applicable to public agencies, if required.
12. Sign the form where required, both as the employee and the certifying officer.
13. Once completed, save your changes, download, print, or share the form as needed.

Take action now and complete your CA CalPERS AESD-139 form online for efficient processing.