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C Office of Employer and Member Health Services P. O. Box 942714 Sacramento CA 94229-2714 888 CalPERS 225-7377 TDD - 916 795-3240 FAX 916 795-1277 MEMBER QUESTIONNAIRE for the CalPERS DISABLED DEPENDENT BENEFIT MEMBER PLEASE COMPLETE ALL ITEM S. INCOMPLETE FORMS WILL BE RETURNED CAUSING A DELAY IN BENEFITS. PART A MEMBER INFORMATION DEPENDENT INFORMATION Name Social Security Number SSN -- Address Telephone Date of Birth PART B Please provide the...
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How to fill out calpers disabled dependent benefit
How to fill out calpers disabled dependent benefit:
01
Gather all necessary documentation such as medical records, proof of disability, and any other supporting documents.
02
Access the CalPERS website or contact their customer service to obtain the disabled dependent benefit application form.
03
Read the instructions carefully and ensure that you understand all the requirements.
04
Fill out the application form accurately and thoroughly, providing all necessary information about the disabled dependent.
05
Attach all the required supporting documents to the application form.
06
Double-check the completed application form and supporting documents for any errors or missing information before submitting.
07
Submit the application form along with the supporting documents either online or by mail to the designated CalPERS office.
08
Keep copies of all submitted documents for your records.
Who needs calpers disabled dependent benefit:
01
Individuals who have a disabled dependent, such as a child or a spouse, and are eligible for member or survivor benefits from CalPERS.
02
Those who have a dependent with a verified disability, as defined by CalPERS, and require financial support.
03
Members of the CalPERS retirement system who want to ensure their disabled dependent receives appropriate benefits in the event of their disability or death.
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What is calpers disabled dependent benefit?
CalPERS disabled dependent benefit is a benefit provided to CalPERS members who have dependents with disabilities.
Who is required to file calpers disabled dependent benefit?
CalPERS members who have dependents with disabilities are required to file for the disabled dependent benefit.
How to fill out calpers disabled dependent benefit?
To fill out the CalPERS disabled dependent benefit, members need to complete the necessary forms and provide the required information about their dependent's disability.
What is the purpose of calpers disabled dependent benefit?
The purpose of the CalPERS disabled dependent benefit is to provide financial assistance to members who have dependents with disabilities.
What information must be reported on calpers disabled dependent benefit?
Members must report their dependent's disability information, including the type and severity of the disability, medical documentation, and any necessary supporting documentation.
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