Get the free Medical Report for the CalPERS Disabled Dependent Benefit (HBD-34) (PDF). CalPERS Form

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Health Account Management Division P.O. BOX 942715, Sacramento, CA 942292715 888 CalPERS (or 8882257377) | TTY (877) 2497442 FAX (800) 9596545 | www.calpers.ca.govDISABLED DEPENDENT MEMBER QUESTIONNAIRE

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