RETIRED PEACE OFFICERS

ASSOCIATION OF CALIFORNIA

PRESENTS

YOUR BENEFITS COMMUNICATION PROGRAM

PORAC is a statewide association dedicated to protecting the interest of those law enforcement personnel who have retired from public service. This commitment is visible as the leaders and membership of PORAC aggressively monitor legislation that could impact the lives of retirees. PORAC stays abreast of current issues that affect all aspects of retiree benefits, including retiree medical insurance and cost of living allowance determinations. PORAC is YOUR resource for information that could affect your standard of living after retirement.

RPOAC works closely with the Peace Officers Research Association of California (PORAC). PORAC represents nearly 100,000-law enforcement officer in the state of California and Nevada. RPOAC is very active in representation of the retired police officer with regard to income, fringe benefits, and retirement systems. This enables RPOAC to assist and communicate with other Police and Sheriff’s Associations throughout both states. RPOAC also furnishes planned representation in Sacrament to support or oppose legislation affecting law enforcement. RPOAC also belongs to the National Association of Police Organizations (NAPO).

For information on PORAC and the additional services they provide, call or write:

RPOAC State Office

P.O. BOX 1239

Colfax, California 95713

(800) 743-743-7622

THIS BOOKLET IS RESPECTUFULLY DEDICATED TO THOSE PUBLIC SAFETY

MEMBERS WHO HAVE GIVEN SO MUCH IN THE LINE OF DUTY,

SO THAT THEIR CITIES AND COUNTIES MIGHT BE A

BETTER PLACE IN WHICH TO LIVE.

This booklet is provided to you by RPOAC and contains valuable information about you, your family and about various benefits you may have through RPOAC, PORAC, the city/county, state and the federal government. IT IS DESIGNED NOT ONLY FOR YOU, BUT FOR THE SURVIVORS OF YOUR ESTATE IN THE EVENT OF YOUR DEATH.

A comprehensive supplemental section is provided for you to record personal, financial, and other pertinent information of further assist you and your family in the event of incapacitation or death. It is EXTREMELY IMPORTANT that you take the time to go over the continents of this booklet with your spouse, or other appropriate persons, so they will know where this information will be in the event that it is needed.

A WORD OF WARNING: Because much of this information may change from year to year, it is important that you keep this record up-to-date. REVIEW IT AT LEAST ONCE A YEAR, MORE OFTEN IF YOUR AFFAIRS ARE EXTENSIVE.

Index

SUBJECT PAGE

Annuities 10

Cemetery Plot 25, 27

Checking Accounts 6

Credit Card Records 13

Debts (Personal) 13

Disability Insurance 10

Family Data 12, 14

Funeral Arrangements 25-27

Important Papers (Items & Locations) 3

Legal Residence 4

Life Insurance 8

Loans (Personal) 13

PERS/CERS/Social Security Benefits 17-20

Personal Information 4

Personal Property 7

Persons to Notify 14, 25, 26

Phone Calls that must be made 26

Real Estate 8

Religion 12

Residence 4

Retirement Plan 3, 21

Safe Deposit 3, 5

Saving Accounts 6

Savings Bonds 7

Social Security 13

Stocks & Bonds 6

Tax Returns 12

Trust Funds 11

Will 3, 5, 23, 24

When a death has occurred, one big problem for survivors is simply finding all the property and valuable papers of the deceased. You can do your heirs a real favor by filling out this form and giving copies to your spouse, relatives who might help in settling your estate, the executor of your will and your attorney. This set aside a day each year to update this information. Your thoughtfulness in preparing ahead will be a true give to your family.

Where To Find My Important Papers

Name:_______________________________ PERS/CERS Member Account No:________________________

Social Security #:_____________________

My valuable papers are stored in these locations: (Addresses plus where to look)

A. Residence______________________________________________________________________________

B. Safe-deposit box_________________________________________________________________________

C. Other__________________________________________________________________________________

Item Location Item Location

My Will (original) A B C Loaned & Stored items A B C

Powers of Attorney A B C Auto Ownership records A B C

Spouse’s Will (original) A B C Birth Certificates (copies of spouse and children) A B C

Safe Combination A B C Baptismal records A B C

Trust Agreement A B C Military DD214 & discharge papers A B C

Life Insurance Policies A B C List of fraternal organizations and associations A B C

Health Insurance Policies A B C Marriage Certificate(s) A B C

Homeowner’s Policies A B C Divorce/Separation Papers A B C

Auto Insurance Policies A B C Tax Returns A B C

Employment/Union Contract A B C Stocks & Bonds A B C

Partnership Agreements A B C Valuables (Inventory List) A B C

List of Savings & Checking Accounts A B C Valuables (Inventory List) A B C

List of Credit Cards A B C Retirement Papers A B C

Medical History Records (inc. Dental) A B C Passport A B C

Key Ring Inventory A B C Titles & Deeds A B C

(make copies of keys and identify them)

Deferred Compensation, IRA, etc. A B C Notes (Mortgages) A B C

Notes (Monies owed and money owed to you!) A B C Other_____________________________________ A B C

My Legal Residence

Street Address______________________________________________________________________________

City______________________________________________________________________________________

State______________________________________________________________________________________

This information is vital because the laws of the state effect many areas – the division of your estate, 1

Personal Information

I was born at__________________________________________________________Date_________________

I have a birth certificate: Yes No It is kept at_______________________________________________

I am not American-born, but am an American citizen.

My citizenship papers are located at ____________________________________________________________

I was married at_____________________________________________________________________________

Date________________ My marriage certificate is located at ________________________________________

I have been divorced__________________________________________________ Date___________________

I served in the Armed Forces: Yes No Branch__________________________________________

Serial Number___________________ Discharge papers are kept at___________________________________

I am a disabled American Veteran: Yes No C Number_________________________________

My Lawyer is______________________________________________________________________________

Address______________________________________________________ Phone_______________________

My Physician is_____________________________________________________________________________

Address______________________________________________________ Phone_______________________

2^nd Physician is _____________________________________________________________________________

Address______________________________________________________ Phone_______________________

My Accountant/Tax Preparer is________________________________________________________________

Address______________________________________________________ Phone_______________________

FEEL FREE TO COPY THE FOLLOWING PAGES SO YOU MAY PERIODICALLY UPDATE THE INFORMATION.

MY LAST WILL AND TESTAMENT

I have made a will. I have not made a will.

It is dated___________________ It is kept at _____________________________________________________

It was drawn by my attorney __________________________________________________________________

Address______________________________________________________ Phone_______________________

My will appoints:

Executor(s) or Trustee(s)_____________________________________________________________________

Guardian(s) of my children ___________________________________________________________________

Note: If you have not made a will, it is advisable that you do so. Without a will specifying your wishes, your estate will be distributed in accordance with the laws of your State and the court will appoint any administrators and/or guardians that may be necessary. This may cause family trouble and unnecessary loss of property which could easily be avoided with a properly drawn will.

MY SAFE DEPOSIT BOX

I do have a safe deposit box I do not have a safe deposit box.

It is located at ______________________________________________________________________________

It can be opened by _________________________________________________________________________

Address______________________________________________________ Phone_______________________

I LIVE AT

Address______________________________________________________ Phone_______________________

I own my own residence. I do not own my own residence.

The title is in my name only! The title is in joint with ________________________________________

There is a mortgage on this property. There is not a mortgage on this property.

Mortgage is held by _________________________________________________________________________

I rent and my landlord is __________________________________________________________________

Address______________________________________________________ Phone_______________________

I own the following other real estate(s):

Address/Location ___________________________________________________________________________

The following papers are kept at:

Copy of Mortgage(s)______________________________ Deed(s)___________________________________

Closing Statement(s)______________________________ Surveys___________________________________

Title Abstract(s)__________________________________ Lease(s)___________________________________

Title Insurance___________________________________ Tax Receipts_______________________________

Insurance Policies___________________________________________________________________________

My insurance broker is _______________________________________________________________________

Address______________________________________________________ Phone_______________________

CHECKING & SAVING ACCOUNTS

My checking accounts are with the following bank(s)/credit union(s):

__________________________________________________________________________________________

This listed person has power to sign checks on these accounts:

Name__________________________________________________________ Phone______________________

STOCKS & BONDS

Kept at ___________________________________________________________________________________

Records of purchase and sale(s) will be found at __________________________________________________

__________________________________________________________________________________________

Some of these securities were given to me or inherited: Yes No

Papers are located at _________________________________________________________________________

I have have not pledge some or all of my securities for loans with:

Name/Address______________________________________________________________________________

U.S. SAVINGS BONDS

I own in my name only! I own jointly with _______________________________________________

I am beneficiary at death of ___________________________________________________________________

At my death, my beneficiary is ________________________________________________________________

The bonds are kept at ________________________________________________________________________

A record of the bonds and their serial numbers will be found at _______________________________________

__________________________________________________________________________________________

MY PERSONAL PROPERTY

Includes household furnishings located at ________________________________________________________

__________________________________________________________________________________________

Jewelry is kept at ___________________________________________________________________________

Automobile(s) kept at _______________________________________________________________________

Furs kept at _______________________________________________________________________________

Other ____________________________________________________________________________________

Location__________________________________________________________________________________

Is owned by me alone jointly with ________________________________________________________

Address______________________________________________________ Phone_______________________

Bills of sale, insurance policies and personal property tax receipts are kept at ____________________________

__________________________________________________________________________________________

LOCATION OF PROPERTY OWNED

Primary Residence __________________________________________________________________________

Type of Ownership _________________________________________________________________________

Property #2 ________________________________________________________________________________

Type of Ownership _________________________________________________________________________

Property #3 ________________________________________________________________________________

Type of Ownership _________________________________________________________________________

MY RETIREMENT PLAN

Type: IRA KEOGH Employer pension or profit sharing plan.

Trustee or Custodian ________________________________________________________________________

Address______________________________________________________ Phone_______________________

Trustee or Custodian ________________________________________________________________________

Address______________________________________________________ Phone_______________________

MY LIFE INSURANCE

I do do not carry life insurance.

Policies are kept at __________________________________________________________________________

Others do do not carry insurance on my life.

Names and addresses of owners:

__________________________________________________________________________________________

An Itemized list of all insurance policies carried on my life is kept at __________________________________

__________________________________________________________________________________________

I do do not have life insurance on others.

Names and addresses of owners:

Name ____________________________________________________________________________________

Address______________________________________________________ Phone_______________________

Name ____________________________________________________________________________________

Address______________________________________________________ Phone_______________________

Policies are kept at __________________________________________________________________________

__________________________________________________________________________________________

An itemized list of such policies are kept at ______________________________________________________