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STATE OF CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEMSEPARATION/DISPOSITION OF CALLERS CONTRIBUTIONS STD. 687 (REV. 6/2010)THE FOLLOWING CONTAINS INFORMATION ON THE RIGHTS OF MEMBERS IF THEY ARE
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How to fill out separation disposition of CalPERS?

01
Gather your personal information: Before starting to fill out the separation disposition form of CalPERS, collect all the necessary personal information such as your full name, social security number, contact details, and employment history.
02
Review the instructions: Read the instructions provided on the separation disposition form carefully. Make sure you understand the purpose of the form and the specific sections that need to be completed.
03
Section 1: Employee Information: Begin by filling out your personal details in Section 1 of the form. Provide your full name, social security number, date of birth, and contact information.
04
Section 2: Employer Information: In this section, fill out the details of your former employer, including the organization's name, address, and contact information. If you had multiple employers during your CalPERS membership, you may need to provide information for each employer separately.
05
Section 3: Separation Information: Provide the details of your separation from CalPERS-covered employment in Section 3. Include the separation date, reason for separation, and any additional remarks if necessary.
06
Section 4: Service Retirement Election: If you are retiring and wish to elect a service retirement allowance, complete Section 4. This section requires information about your retirement option, beneficiary designation, and other retirement choices.
07
Section 5: Lump Sum Death Benefit Nomination: If you would like to nominate a recipient for a lump sum death benefit in the event of your passing, fill out Section 5. This section requires you to name a primary and contingent beneficiary, along with their contact information.
08
Section 6: Member's Certifications: Carefully read the certifications provided in this section. Sign and date the form to verify the accuracy of the information you have provided.
09
Section 7: Employer's Certification: Leave Section 7 blank, as it is reserved for your employer's completion.
10
Submission: Once you have completed all the required sections, review the form for any errors or missing information. Attach any required supporting documentation, if applicable. Sign and date the form in the appropriate areas. Then, submit the separation disposition form to CalPERS according to the instructions provided.

Who needs separation disposition of CalPERS?

01
Employees leaving CalPERS-covered employment: Any individual who is separating from employment that is covered by CalPERS, such as a government agency employee, may need to fill out a separation disposition form.
02
CalPERS retirees: Individuals who are retiring and wish to receive a service retirement allowance from CalPERS should complete the separation disposition form.
03
Those seeking to designate a lump sum death benefit recipient: If you want to nominate someone to receive a lump sum death benefit from CalPERS in the event of your passing, you would need to fill out the separation disposition form.
Please note that the specific circumstances and requirements for filling out the separation disposition form may vary, so it is essential to consult the official CalPERS guidelines and instructions for accurate information.
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Separation disposition of CalPERS is the form that must be completed by employees who are separating from employment with a CalPERS-covered employer.
Employees who are separating from employment with a CalPERS-covered employer are required to file separation disposition of CalPERS.
Separation disposition of CalPERS can be filled out online on the CalPERS website or by submitting a physical form to CalPERS.
The purpose of separation disposition of CalPERS is to report important information about the employee's separation from employment, which affects their pension benefits.
Information such as the last day of employment, reason for separation, and contact information must be reported on separation disposition of CalPERS.
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