Retiree (School, Local Government, or Judicial) Seat (4-Year Term) Direct Nomination

Survey & Ballot Systems - Direct Nominations

Retiree (School, Local Government, or Judicial) Seat (4-Year Term) Nomination Petition

Karl Fisch is requesting your support by asking you to complete the below petition fields. Once completed click the ‘Submit’ button.

As of the date you are completing this petition, you are attesting that you are a retired member from the School, Judicial, or Local Government Divisions of PERA. This means that you retired from an employer in the School, Judicial, or Local Government Divisions of PERA. For a complete list of employers in the School, Judicial, or Local Government Divisions, please see PERA Rule 2.15A, linked here. By completing the information below, I hereby nominate the person named above as a candidate for the Colorado PERA Board of Trustees.

First Name*

Middle Name

Last Name*

Address 1 (home address on file with Colorado PERA)

Address 2

City

State

ZIP Code

Name of employer from which you retired

Address of employer from which you retired

Signature (sign using your mouse, stylus, or fingertip)*

Retiree (School, Local Government, or Judicial) Seat (4-Year Term) Nomination Petition