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Service Retirement Application

Customer Name: JOHN DOE

Your Personal Profile

Be sure Your Personal Profile reflects the most up-to-date and accurate information on myCalSTRS. Enter your updates in the editable fields below. Select the Save button once Your Personal Profile is up-to-date to submit and complete.

Verify Your Preferred Contact Information

Primary Mailing Address



* USA or International Address: USA International
* Street Address:
Apartment/Condo/Suite #:
* City:
* State:
* Zip Code: -
Primary Phone Number: () - Ext.
Alternate Phone Number: () - Ext.
Fax Number:
* E-Mail Address:
* Confirm E-Mail Address:


Address to Receive Benefit Payments
  Same as Primary Mailing Address       Use Alternate Address
 

Address to Receive 1099-R Statements
  Same as Primary Mailing Address       Use Alternate Address
 


*Required fields to continue.
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