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1190 South Victoria Avenue
Suite 200
Ventura, CA 93003

(805)339-4250

Forms
Beneficiary Designation
Buy Back Request
Change of Address
Change of Name
Federal/State Income Tax Withholding
Instructions and Authorization for Automatic Deposits - Direct Deposit
Retirement Benefit Estimate Request
Retirement Planning Workshop Registration Form
Special Tax Notice Regarding Lump Sum Withdrawals
Trust Named as Beneficiary

If you have questions or require assistance with filling out the form(s),
please do not hesitate to contact the VCERA office at (805) 339-4250.

Once you have completed and signed the forms,
they may be submitted by mail or in person to the
Ventura County Employees' Retirement Association,
1190 South Victoria Avenue, Suite 200, Ventura, California  93003. 

 

 

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