Use this form to change your address, beneficiary, or marital
Note: Active Members should update their address
with their employer who will report the new information to
Return the completed form below to SCERS; or request a digital
(DocuSign) version by calling us at (916) 874-9119 or emailing
This form is used to apply for retirement from the Sacramento
County Employees’ Retirement System.
Full Service Retirement Application Packet
This form is used to change your Federal and California State
income tax withholding amounts.