This form is mainly used to change your address, beneficiary, or marital status.
This form is also required when submitting the Service Retirement application.
Note: Active Members should update their address with their employer who will report the new information to SCERS.
Return the completed form in person or by mail to SCERS; or request a digital (DocuSign) version by calling us at (916) 874-9119 or emailing firstname.lastname@example.org. SCERS will not accept this form by fax or email.