Forms

Overview

Forms

Please click on a link below, print the form, and sign where indicated. You can submit your completed form to VCERA by mail, fax or hand delivery. Alternatively, you can scan and email it to vcera.info@ventura.org. (If you do not have a printer, you can obtain a form in the VCERA office or by calling (805) 339-4250 to request a physical copy by mail.)

Active Members

Estimate Request Form
Service Credit Purchase Form
Retirement Application Packet
Beneficiary Designation Form
Incoming Reciprocity Request Form
Request for Pre-Judgment Valuation Form

Deferred Members

Change of Address Form
Estimate Request Form
Retirement Application Packet
Beneficiary Designation Form
Change of Name Form
Request for Pre-Judgment Valuation Form

Retired Members

Change of Address Form
Direct Deposit Form
Federal & California State Income Tax Withholding Form
Beneficiary Designation Form
Change of Name Form
Request for Pre-Judgment Valuation Form