Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership for Public Agency and Schools - California

Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership for Public Agency and Schools - 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.

FAQ

Q: What is Form PERS-EAMD-139?A: Form PERS-EAMD-139 is a Notice of Exclusion From CalPERS Membership for Public Agency and Schools in California.

Q: Who is this form for?A: This form is for public agencies and schools in California that want to exclude their employees from CalPERS membership.

Q: What does CalPERS stand for?A: CalPERS stands for California Public Employees' Retirement System.

Q: Why would an agency or school want to exclude employees from CalPERS membership?A: There could be various reasons, such as if the employees are already covered by another retirement system.

Q: Is this form mandatory?A: Yes, if a public agency or school wants to exclude employees from CalPERS membership, they must submit this form.

Q: Are there any fees associated with this form?A: No, there are no fees associated with submitting this form.

Q: How do I submit Form PERS-EAMD-139?A: The completed form must be submitted to CalPERS by mail or fax.

Q: What information is required on Form PERS-EAMD-139?A: The form requires information such as the agency/school name, contact information, employee details, and reasons for exclusion from CalPERS.

Q: Is there a deadline for submitting this form?A: There is no specific deadline mentioned for submitting this form, but it is recommended to submit it as soon as the decision to exclude employees from CalPERS membership is made.

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Form Details:

  • Released on April 1, 2020;
  • 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 fillable 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.

Download Form PERS-EAMD-139 Notice of Exclusion From CalPERS Membership for Public Agency and Schools - California

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