Preretirement Election of an Option

Customer Name: JOHN DOE

Indicate your marital or RDP status below to indicate the Required Signatures necessary for your Preretirement Election of an Option application.

Required Signatures

Make Your Selection
Select all statements that apply to you.

	I have never been married or registered as a domestic partner.

	I am married or registered as a domestic partner to:
		Name: John A Doe	Edit
		Social Security Number: XXX-XX-8989
		Date of Birth: 02/03/1944
		Relationship: Spouse
		Gender: Male

	Will your Spouse / RDP sign this form? * Yes No (Electronically or hardcopy)

	I have a prior relationship where I was married or registered as a domestic partner.

	Select one* option below to specify:

		I am now widowed. / My RDP has died.

		I am divorced or terminated a registered domestic partnership and my former spouse / partner was awarded a portion of my CalSTRS benefits.

		I am divorced or terminated a registered domestic partnership and my former spouse / partner was not awarded a portion of my CalSTRS benefits.