Service Retirement Application

Customer Name: JOHN DOE

Complete the form below with selections that accurately reflect Your Retirement Profile.

Make Your Selections


Important Dates
	* Retirement Date


	* Last Date of Work


Reduced Benefit Election
	I am applying for retirement under the Reduced Benefit Election.
	Yes No

	(dynamic pop-down if yes above) If you are between ages 55 and 60 and have at least five years of service credit you can apply for retirement under the Reduced Benefit Election. By making this election you agree to receive a reduced benefit equal to one-half of your monthly retirement benefit calculated as if you were age 60. The reduced benefit will continue for the same number of months after age 60 that you received benefits before age 60. After that, you will receive your normal retirement benefit. For more information on the Reduced Benefit Election, contact CalSTRS or refer to Your Retirement Guide.
*		I read and understand the description above of the Reduced Benefit Election. I understand that my monthly benefit will be reduced for a period of time.

Other Public Retirement Systems
	Select any Other Public Retirement Systems you are a member of. Check all that apply:
		CalPERS
		SFERS
		LRS
		UCRS
		1937 ACT COUNTY
		County Name:


	Enter your Retirement Date* for the other Public Retirement Systems you selected. (Dynamic)

*Required fields to continue.