In alphabetical order
If your loved one was a vested member upon death or the death was work related, use this form.
Beneficiary or Personal Representative Request for Refund of Employee Contributions
If your loved one was not vested up death, but made contributions to the system, use this form.
If your loved one's death occurred while the member was no longer employed by a LAGERS employer , use this form.
All enrollments must be completed on ECLIPSE. Use this form for your employer's internal use only.
A former member applying for a refund of employee contributions or a lump sum benefit should use this form.
A member applying for a regular, early or disability retirement should use this form.
If an employer is making an additional lump sum payment towards their Unfunded Liability, send the payment with this form.
For Fiscal Year: July 1, 2017 - June 30, 2018