Board of Los Angeles City Employees Retirement System Forms and Office Locations – Government Agency in Los Angeles, CA

21 - 40 of 65 forms

Form Title	Topics
Certification for Hiring Hall Service Purchase
Certification of Service - All Members
Certification of Uncompensated Maternity Leave
Change of Address Request Form
Change of Email Address Request Form
DE-4P State Withholding Form
Declaration of Domestic Partnership
Deferred Vested Retirement Application
Designation of Beneficiary for Accrued Allowance of Surviving Spouse or Domestic Partner
Designation of Beneficiary for Active Members - Tier 1
Designation of Beneficiary for Community Property
Designation of Beneficiary for Funeral Expense Allowance
Designation of Beneficiary for Unused Contributions and Accrued Payments
Direct Deposit Authorization Form
Distribution of Election Form
Election to Participate in Family Death Benefit Plan
Excess Benefit Program Fact Sheet
FDBP Information Sheet
Form W-9 Instructions
Form W-9 Request for Taxpayer Identification Number and Certification

1 contact point

Address:
202 W. First Street
Suite 500
Los Angeles, CA 90012

Phone numbers:

Hours of operation:

Board of Los Angeles City Employees Retirement System