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PERS-BSD-92 9/08 Applicant s Name To Be Completed By Workers Compensation Insurance Carrier Your help is needed in the evaluation of my eligibility WCAB Number Liability Accepted Be sure to send CalPERS a copy of all medical reports for the claim number s listed. Include job descriptions/ job analyses depositions investigation reports videotapes and approved orders from the Appeals Board.

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How to fill out calpers pers bsd 92

How to Fill Out CalPERS Pers BSD 92?

01

Start by gathering all the necessary information. Before filling out the CalPERS Pers BSD 92 form, make sure you have all the required data readily available. This includes personal details such as your full name, address, contact information, social security number, and date of birth.

02

Familiarize yourself with the form. Take a few minutes to carefully read through the CalPERS Pers BSD 92 form. Understand what each section is asking for and what supporting documentation may be required. This will help ensure that you provide accurate and complete information.

03

Provide employment information. The CalPERS Pers BSD 92 form usually requires details regarding your employment history. This may include information about your current and past employers, job titles, job durations, and salary information. Make sure to fill in this section accurately to the best of your knowledge.

04

Declare your CalPERS membership information. If you are already a member of CalPERS, you may be asked to provide your membership identification number and other pertinent details related to your membership status. Fill in this section accordingly.

05

Include your beneficiary information. In this section, you will need to specify who you would like to designate as your beneficiary in the event of your death. Provide the full name, relationship, and contact information of each beneficiary you wish to name. It is essential to review this section carefully and ensure the accuracy of the information supplied.

06

Understand and satisfy any additional requirements. Depending on your unique circumstances, there may be additional requirements or documentation needed to complete the CalPERS Pers BSD 92 form. Read the instructions thoroughly and be prepared to fulfill any additional requests.

Who needs CalPERS Pers BSD 92?

01

Employees enrolled in CalPERS retirement plans: CalPERS Pers BSD 92 is typically required for employees who are enrolled in retirement plans offered by the California Public Employees' Retirement System (CalPERS). This form serves as a way for employees to update their personal information, employment history, and beneficiary designations.

02

Individuals seeking to make changes to their CalPERS membership: If you are already a member of CalPERS and wish to make changes to your membership, such as updating beneficiary information or providing new employment details, you will need to fill out the CalPERS Pers BSD 92 form.

03

New CalPERS participants: Individuals who are newly eligible or opting to enroll in CalPERS retirement plans may be required to complete the CalPERS Pers BSD 92 form. This process ensures that accurate and up-to-date information is recorded for new members.

Remember, it is always recommended to consult the official CalPERS website or reach out to their customer service for the most accurate and current information regarding filling out the CalPERS Pers BSD 92 form.

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What is calpers pers bsd 92?

CalPERS Pers bsd 92 is a form used by CalPERS members to report their compensation.

Who is required to file calpers pers bsd 92?

All CalPERS members are required to file calpers pers bsd 92.

How to fill out calpers pers bsd 92?

CalPERS members can fill out CalPERS Pers bsd 92 by entering their compensation information in the designated fields.

What is the purpose of calpers pers bsd 92?

The purpose of calpers pers bsd 92 is to report compensation information for CalPERS members.

What information must be reported on calpers pers bsd 92?

On CalPERS Pers bsd 92, CalPERS members must report their compensation including salary, bonuses, and other forms of income.

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