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Get the free MEMBER QUESTIONNAIRE for the CalPERS DISABLED DEPENDENT BENEFIT - csus

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This document serves as a questionnaire for members of CalPERS to provide necessary information regarding dependents seeking benefits due to disability.
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How to fill out MEMBER QUESTIONNAIRE for the CalPERS DISABLED DEPENDENT BENEFIT

01
Obtain the MEMBER QUESTIONNAIRE form from the CalPERS website or request a physical copy.
02
Read the instructions carefully before starting to fill out the form.
03
Provide personal information, including your name, address, and CalPERS identification number.
04
Specify details about the dependent, such as their name, date of birth, and relationship to you.
05
Include information regarding the dependent's disability, including type and severity.
06
Attach any necessary documentation that verifies the disability status of the dependent.
07
Review the completed form for accuracy and completeness.
08
Sign and date the questionnaire where indicated.
09
Submit the form via mail or online as directed by the instructions.

Who needs MEMBER QUESTIONNAIRE for the CalPERS DISABLED DEPENDENT BENEFIT?

01
Any CalPERS member who has a dependent with a qualifying disability and seeks to obtain benefits related to the disabled dependent.
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The MEMBER QUESTIONNAIRE for the CalPERS DISABLED DEPENDENT BENEFIT is a form used by members of the California Public Employees' Retirement System (CalPERS) to provide necessary information about their disabled dependents to qualify for benefits.
Any member of CalPERS who has a disabled dependent for whom they are seeking benefits is required to file the MEMBER QUESTIONNAIRE.
To fill out the MEMBER QUESTIONNAIRE, members should provide accurate and complete information about their disabled dependent, including personal details, disability status, and any supporting documentation required by CalPERS.
The purpose of the MEMBER QUESTIONNAIRE is to gather the necessary information to determine eligibility for providing benefits to dependents who are disabled.
The information required includes the dependent's name, relationship to the member, details about their disability, and any relevant medical or legal documentation supporting the claim.
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