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| Question | Answer |
|---|---|
| Form Name | Forms For Sdcera Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | sdcera direct deposit forms, sdcera forms and publications, sdcera forms, sdcera form |
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Retired and Deferred Members |
RERE |
Change of Address |
Retired and Deferred Members may change their address by submitting this form to SDCERA.
MEMBER INFORMATION
Full Name |
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Social Security Number |
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Member status (check one) |
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Daytime Telephone Number |
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Retired |
Deferred |
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ADDRESS INFORMATION
SDCERA keeps record of a legal street address and mailing address for each Member. The mailing address (if different from the legal street address) is the address SDCERA uses to mail correspondence. The mailing address can be a P.O. Box. If you do not indicate two separate addresses in each section, the same address will be used for both your legal street address and mailing address.
LEGAL STREET ADDRESS (cannot be a P.O. Box)
Street Address
Effective Date
City
State
Zip
MAILING ADDRESS Check here if your mailing address is the same as your legal street address
Street Address or P.O. Box |
Effective Date |
City
State
Zip
AUTHORIZATION
Member’s Signature ___________________________________________ Date __________________
2275 Rio Bonito Way, Suite 100, San Diego,
Member Service Center (619)
Rev. 4/2018 |
3220 |