Mendocino County, CA
Home MenuMember Forms
For Active or Deferred Members
MCERA requires a signed form to implement changes to member information. Handwritten notes or verbal requests will not be accepted.
- Beneficiary Designation Form, Active or Deferred Member
- Member Handbook
- Retirement Estimate Appointment Request
Divorce and Account Division of Community Property Interest
- Model Domestic Relations Order (DRO) for Active or Deferred Member Future Retirement Benefits - Shared Accounts
- Model DRO for Active or Deferred Member Future Retirement Benefits - Separate Accounts
- Separate Account Divisions of Community Property Interest Policy
For Members Leaving Employment
For Retired Members and Continuance or DRO Recipients
MCERA requires a signed form to implement changes to member information. Handwritten notes or verbal requests will not be accepted.
- Address Change Form
- Beneficiary Designation Form, Retired Member
- Burial Benefit Beneficiary Designation Form, Retired Member
- Beneficiary Designation Form, Continuance or DRO
- California Pension Tax Withholding Form DE 4P
- Direct Deposit Authorization
- Federal Pension Tax Withholding Form W-4P
If you need a form or publication in a different format, please contact our office and we will be happy to assist you.
Free viewers are required for some of the attached documents.
They can be downloaded by clicking on the icons below.
