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Signature of Employer Print Name of Employer Date mm/dd/yyyy Employer s Phone Number Member Signature and Certification Signature of Member Mail to PERS-BSD-145 12/13 Page 1 of 1 Completing this form is a formal request to reinstate into active membership with a CalPERS-covered Member Certification City State ZIP I request reinstatement into active CalPERS membership with the following employer in the following position. I understand that reinsta...
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CalPERS reinstatement from retirement refers to the process of returning to work for a CalPERS-covered employer after retiring from CalPERS membership.
Any CalPERS member who has previously retired from CalPERS and wishes to return to work for a CalPERS-covered employer is required to file for reinstatement from retirement.
To fill out the CalPERS reinstatement from retirement form, individuals should contact CalPERS directly or visit their official website to obtain the necessary forms and instructions.
The purpose of CalPERS reinstatement from retirement is to facilitate the return of retired CalPERS members to work for a CalPERS-covered employer while ensuring their retirement benefits are properly managed.
When filing for CalPERS reinstatement from retirement, individuals must report their personal information, retirement date, details of prior CalPERS employment, anticipated employment details, and any other required information as specified by CalPERS.
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