Mendocino County, CA
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Member Handbook
For Active or Deferred Member Forms
MCERA requires a signed form to implement changes to member information. Handwritten or verbal requests will not be accepted.
- Administrative Hearing Policy
- Administrative Hearing Statement of Claim Form
- Beneficiary Designation Form, Active or Deferred Member
- Beneficiary Designation Form, DRO Recipient
- Estimate/Consultation Request Form
- Model Domestic Relations Order (DRO) Language for Active or Deferred Member Future Retirement Benefits - Shared Accounts
- Model DRO Language for Active or Deferred Member Future Retirement Benefits - Separate Accounts
- Separate Account Divisions of Community Property Interest Policy
Disability Retirement Application and Information
For Members Leaving Employment
- Disposition of Retirement Distributions Form
- Separation from Employment Packet
- Special Tax Notice Regarding Retirement Distributions
- Direct Deposit Authorization for Lump Sum Payments
- Reciprocity Policy
- Understanding Reciprocity
- Terminating Employment Before Retirement
Service Retirement Application and Information
- AMCRE - New Member Voluntary Benefits Guide
- AMCRE - New Member Voluntary Benefits Enrollment Form
- Benefit Payment Policy
- Benefit Payment Options Explained
- Benefit Payment Optional Settlement 4 Policy
- Benefit Payment Option 4 Calculation Request
- Certificate Attestation Form
- How To Retire
- Service Retirement Application Packet
- Service Retirement Policy
For Retired Members
MCERA requires a signed form to implement changes to member information. Handwritten or verbal requests will not be accepted.
- Address Change Form
- Administrative Hearing Policy
- Administrative Hearing Statement of Claim Form
- AMCRE - Member Voluntary Benefits Guide
- AMCRE - Member Voluntary Benefits Enrollment Form
- Beneficiary Designation Form, Retired Member
- Burial Benefit Beneficiary Designation Form, Retired Member
- Benefit Payment Policy
- California Pension Tax Withholding Form DE 4P
- Certificate Attestation Form
- Direct Deposit Authorization
- Federal Pension Tax Withholding Form W-4P
- Model Domestic Relations Order (DRO) Language for Retired Member Post-Retirement Benefits
- Return to Covered Employment Policy
- Separate Account Division of Community Property Interest Policy
For Recipient Benefit Continuance (After Death of a Member)
MCERA requires a signed form to implement changes to member information. Handwritten or verbal requests will not be accepted.
- Address Change Form
- Beneficiary Designation Form, Recipient Benefit Continuance
- California Pension Tax Withholding Form DE 4P
- Certificate Attestation Form
- Direct Deposit Authorization Form
- Federal Pension Tax Withholding Form W-4P
Some of our forms and publications require Adobe Acrobat Reader which you can download for free. If you need a form or publication in a different format, please contact our office and we will be happy to assist you.