Stanislaus County Employees Retirement Association
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The forms on this page may be completed on line, but will need to be printed and either faxed or mailed, if original signature is required.   We are unable to accept any on-line submission of forms at this time. 
 
StanCERA
P.O. Box 3150
Modesto, CA 95353-3150
Fax 209-558-4976

Authorization Agreement for Direct Deposit (ACH)

Change of Address          

Beneficiary Designation (Active Member)   (Instructions for Completing)

Death Benefit Designation (Retired Member)

Estimate Form (print)  

Name Change Form       

Buyback  of Service Credit  Request (print)   

Request for Retirement Benefit Information due to Marital Dissolution

AB2766 Request for Buyback Calculation

Service Retirement Packet

 Link to Personnel Forms by Employer 

TAX Forms and Worksheets


2008 W4P Form  - (Change your withholding)

1099R Worksheet 1

1099R Worksheet 2                                                                                                     

1099R Worksheet 3

IRS 2007 Pub 575 - Pension and Annuity Income

Click Here to access the IRS withholding calculator.