Stanislaus County Employees Retirement Association
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The forms on this page  may be completed on-line and then printed and either faxed or mailed.   We are unable to accept any on-line submission of forms at this time. 
 
StanCERA

Retirement Webinars

P.O. Box 3150
Modesto, CA 95353-3150
Fax 209-558-4976

Beneficiary Designation (Active Member)   (Instructions for Completing)

Buyback  of Service Credit  Request    

Buyback Calculation Request - AB2766

Change of Address     

Death Benefit Designation (Retired Member)

Direct Deposit - Authorization Agreement(ACH)

Direct Deposit  - Stop Request

Name Change Form       

Retirement Benefit - Estimate Request

Request for Retirement Benefit Information due to Marital Dissolution

Service Retirement Packet 

 Link to Personnel Forms by Employer 

TAX Forms and Worksheets


2010 W4P Form  - (Change your withholding)

Simplified Method Worksheets, for taxability calculation of your taxed contributions:  

  Use 1099R Worksheet 1 if you retired between July 2, 1986 and November 18, 1996.

  Use 1099R Worksheet 2  if you retired on or after November 19, 1996 with a beneficiary continuance.

  Use 1099R Worksheet 3  if you retired on or after November 19, 1996, with no continuance.

IRS 2008 Pub 575 - Pension and Annuity Income

Click Here to access the IRS withholding calculator.