Printable Forms

Choose a Form Below by Clicking On The Links.

The form* will open on your screen. Use the print menu on your computer to print the form. Mail your completed, signed form to CCCERA. Address on the Home Page!

*These forms are Adobe PDF's. You need Acrobat Reader to view them. Click on the icon to download this free program.)

   
   

ACTIVE MEMBERS

Estimate Request

District/Deferred Address Change
(County employees must change address with their payroll clerk.)

Beneficiary Change
(same as Member Enrollment card)

     

RETIREES

Address Change

Beneficiary Change

EFT (Electronic Funds Transfer)
(EFT Information Sheet)

W-4P and DE-4P
(Change State and/or Federal
withholding on your pension check)

   
                         
       

Benefit Calculation Info