Retirement Incentive Pay Program Application and Agreement

Instructions: (1) provide information requested below; (2) check an option box and provide appropriate information; (3) sign and submit your complete application.  

Once you click "Submit" at the end of the application, your Application and Agreement will be recorded and a copy of your responses will be emailed to the email address you provided. It is recommended that you provide a personal email address to ensure you have continued access to your email receipt. 

If you have any questions or concerns regarding the Retirement Incentive Pay Program, please contact the Los Angeles Police Protective League at:

  • Corina Lee - (213) 792-1089; corinalee@lappl.org
  • Jerretta Sandoz - (213) 545-4903; jerrettasandoz@lappl.org
  • Debbie Thomas - (424) 653-4433; debbiethomas@lappl.org

If you have any general retirement questions, you may contact Los Angeles Fire and Police Pensions via telephone at 213-279-3100 or via email at DROPSP@lafpp.com.

You may also view responses to frequently asked questions (FAQs) regarding the Retirement Incentive Program here: https://cao.lacity.org/RIP/RIP_FAQ_FINAL.pdf

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Email *
First Name and Last Name *
City Employee Identification (EID) Number *
Serial Number *
Personal Telephone Number *
Is this the first Retirement Incentive Pay Program Application you have submitted for MOU 24 on or after July 16, 2023, or are you submitting this application to provide revised information for an application you previously submitted?

Note:  If you have submitted multiple applications via this form, only your most recent application will be considered valid and current.
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Select one option (1 - 4) below: *
If you selected Option 2, please enter the date you will enter DROP below. If you did not select Option 2, please enter "N/A". *
If you selected Option 3, please enter the date you will retire from City employment below. If you did not select Option 3, please enter "N/A".
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If you selected Option 4, please enter the date you filed for a DISABILITY pension below. If you did not select Option 4, please enter "N/A".
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RELEASE AND WAIVER

In consideration for the City’s payment of compensation as set forth above, I freely, voluntarily, completely, and permanently release the City, its governing bodies, and all officials, employees, agents and any others acting for it (collectively “Releases”), from any and all claims arising out of or related to my employment with the City which I now have, or which may hereafter accrue, and/or which may result from participation in the RIP and this Employee Agreement, including but not limited to claims of constructive discharge, all federal, state, local, administrative, civil service, collective bargaining, and other claims.  I agree not to bring any grievance, arbitration, lawsuit, or other proceeding against the City and release all claims resulting in any way from the City’s offering and my acceptance of the RIP and/or arising out of or related to my employment with the City, and hereby waive any right to bring those claims in any forum.  I understand that any action by me in violation of this promise may result in a civil suit against me for breach of this Employee Agreement.

I realize there may be unknown facts or claims which, had they been known today, would or could affect my decision to sign this Employee Agreement.  Unless waived, Civil Code Section 1542 protects such unknown claims for automatically being given up in a general release. It states:

“A general release does not extend to the claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release, and that, if known by him or her would have materially affected his or her settlement with the debtor or released party.” (Amended by Stats. 2018, Ch. 157, Sec. 2. (SB 1431) Effective January 1, 2019)

I knowingly and voluntarily waive any and all rights under Civil Code Section 1542, stated above, and hereby release the City from any and all claims which would have been affected by that statute. This release and waiver extends to and is binding upon my heirs, executors, administrators, assigns, and my community estate.

By signing the RIP Application and Agreement, I also waive any claim or right I have to challenge this agreement or my retirement on age discrimination or other grounds under the Age Discrimination in Employment Act of 1967 (ADEA). I understand that I have been or are hereby advised to consult with an attorney of my own choosing before signing this release of ADEA claims. My rights or claims under the ADEA which arise after this RIP Application and Agreement is signed, are not waived.


APPLICATION AND APPROVAL

By my signature below, I hereby apply for participation in the RIP. I fully understand that this RIP Application and  Agreement becomes final and binding only upon specific approval by the CAO, consistent with the RIP Application and Agreement.


By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

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Employee Signature
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A copy of your responses will be emailed to the address you provided.
Submit
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