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
- Active or Deferred Member Beneficiary Designation Form
- Estimate/Consultation Request
- Active Member - Model Domestic Relations Order (DRO) Language for Future Retirement Benefits - Shared Accounts
- Active Member - Model DRO Language for Future Retirement Benefits - Separate Accounts
- DRO Separate Accounts - Community Property Division Policy
- DRO Benefit Recipient - Beneficiary Designation Form
Disability Retirement Application and Information
For Members Leaving Employment
- Separation from Employment Packet
- Disposition of Retirement Distributions Form
- Special Tax Notice Regarding Retirement Distributions
- Reciprocity Policy
- Understanding Reciprocity
- Terminating Employment Before Retirement
Service Retirement Application and Information
- Service Retirement Application Packet
- How To Retire
- Service Retirement Policy
- Benefit Payment Policy
- Benefit Payment Options Explained
- Benefit Payment Optional Settlement 4 Policy
- Benefit Payment Option 4 Calculation Request
- 2023 AMCRE Member Voluntary Benefits Guide
- 2023 AMCRE Voluntary Benefits Enrollment Form
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
- Direct Deposit Authorization
- Beneficiary Designation Form, Retired Member
- Burial Benefit Beneficiary Designation Form, Retired Member
- Federal Pension Tax Withholding Form W-4P
- California Pension Tax Withholding Form DE 4P
- Return to Covered Employment Policy
- Benefit Payment Policy
- Certificate Attestation Form
- 2023 AMCRE Member Voluntary Benefits Guide
- 2023 AMCRE Voluntary Benefits Enrollment Form
- Retired Member - Model Domestic Relations Order (DRO) Language for Post-Retirement Benefits
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
- Direct Deposit Authorization Form
- Recipient Benefit Continuance-Beneficiary Designation Form
- Federal Pension Tax Withholding Form W-4P
- California Pension Tax Withholding Form DE 4P
- Certificate Attestation Form
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.