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

Benefit Estimate Request Form
Service Credit Purchase Form
Retirement Application Packet (Supplemental Materials)
Beneficiary Designation Form
Incoming Reciprocity Request Form
Pre-Judgment Valuation Request Form

Deferred Members

Change of Address Form
Benefit Estimate Request Form
Retirement Application Packet (Supplemental Materials)
Beneficiary Designation Form
Change of Name Form
Pre-Judgment Valuation Request Form

Retired Members

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