Certificated Personnel Information Form Print On Blue Paper Page 2
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2IMPORTANT RETIREMENT ELECTION INFORMATION
1. Has the Permissive Election and Acknowledgement of Receipt of CalSTRS Defined Benefit Plan
Membership Information, Form ES350, been distributed to the employee if they are not a STRS
member and don’t mandatorily qualify?
<select>
a.
When “I Elect Membership” is checked, set payroll retirement system to “Member”, attach Form
ES350 to blue form and submit to MCOE immediately.
b. When “I Decline Membership at This Time” is checked, file copy of Form ES350 in the
employee’s personnel file, and submit original blue form to MCOE in the first month that the
employee is first paid.
2. Retirement Election Form ES372 – 60 day election window period. Give form to employee within 10
days.
a. When a STRS member accepts a qualifying CalPERS position, provide Form ES372.
b. When a PERS member accepts a qualifying CalSTRS position, provide Form ES372.
c. Provide Publication Join CalSTRS? Join CalPERS.
District Signature _______________________________________ Date __________________________
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