Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership - California

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form PERS-EAMD-139 for the current year.

Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership - California

What Is Form PERS-EAMD-139?

This is a legal form that was released by the California Public Employees' Retirement System - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the California Public Employees' Retirement System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PERS-EAMD-139 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Public Employees' Retirement System.

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Download Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership - California

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  • Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership - California, Page 1
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