Active Member Forms
Active - are defined as employees currently working for a SCERA-covered employer. If you are not an active member you cannot use these forms. Please go to the forms page appropriate to your status.
Please provide all required signatures in physical form, as we cannot accept electronic signatures on forms due to the need for signature verification. This process is essential for safeguarding the integrity of your personal account information. The completed and signed form can be emailed to SCERA.MemberServices@sonoma-county.org.
- Age Factors - Plan A General
- Age Factors - Plan A Safety
- Age Factors - Plan B General
- Age Factors - Plan B Safety
- Alternate Beneficiary Designation
- Authorization to Release Information
- Authorization to Release Information to Legal Representative
- Beneficiary Designation for Active and Transferred Members
- Benefit Payment Options
- Dissolution of Marriage Guidelines - Model A Split Benefit (Word)
- Dissolution of Marriage Guidelines - Model B Separate Accounts (Word)
- Divorce/Domestic Partnership Dissolution Information
- Guidelines for Requesting a Public Service Credit Estimate
- Leaving Before Retirement
- Membership Election
- Power of Attorney Form
- Power of Attorney FAQs
- Pre-Retirement Checklist
- Purchase of Service Credit FAQs
- Reciprocity and Plan Membership
- Retiree Medical Insurance Information and Disclosure Authorization
- Retirement Buy Back Information Request Form
- Service Credit Information
- Separation from Service Following Retirement Summary
- Service Purchase Estimate Request Form
- Vesting and Retirement Eligibility - Plan A
- Vesting and Retirement Eligibility - Plan B
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