Retired Annuitant Application
YES! I would like to be considered for a temporary job with the state. I understand that the information I provide here will be sent by CSEA to all state departments, and that it is up to the interested employer - not CSEA - to contact me.
* = Required
First Name
Last Name
Address
City
State
Zip Code
Phone
Email Address
Last Job Classification
Do you type?
Do you have computer experience?
List three state classifications:
1.
2.
3.
Location where you want to work







Counties in the area where you want to work.

Los Angeles: Los Angeles County.
San Diego: San Diego.
Southern Coast: San Luis Obispo, Santa Barbara, Ventura.
South Central Valley: Imperial, Inyo, Mono, Orange, Riverside, San Bernardino, Kern (east of the Tehachapi Mountains).
Bay Area: Alameda, Contra Costa, Marin, Monterey, Napa, San Benito, San Francisco, San Mateo, Sonoma, Santa Clara, Santa Cruz, Solano.
Central Valley: Amador, Calaveras, Fresno, Kings, Madera, Mariposa, Merced, San Joaquin, Stanislaus, Tuolumne, Tulare, Kern (west of the Tehachapi Mountains).
Sacramento Area: Alpine, Colusa, El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yolo, Yuba.
Northern California: Butte, Del Norte, Glenn, Humboldt, Lake, Lassen, Plumas, Mendocino, Shasta, Siskiyou, Tehama, Trinity.
Submit 



Spring Deadline!!!

The deadline to return the application is June 18!!

The deadline to return the application is June 18!!


Help

All information on this form is required.

Type your answers in the form and click "Submit" below.

All information on this form is required.

Type your answers in the form and click "Submit" below.


Download Application

Only members of CSEA Retirees are eligible to participate in the program.
If you are not yet a member, fill out the membership application (requires the Adobe Reader software).

Are you a member? 
Download the retired annuitant application.

Only members of CSEA Retirees are eligible to participate in the program.
If you are not yet a member, fill out the membership application (requires the Adobe Reader software).

Are you a member? 
Download the retired annuitant application.


Copyright (c) 2010 CSEA Retirees Inc. Terms Of Use Privacy Statement