The Deputy Sheriffs’ Association of San Diego County

Forms

All forms commonly requested by DSA members can be found here.

To learn more about a particular form or program, visit the Active Member Benefits page.

Address Change

Did you move recently? Let us know of an address change by calling the DSA office, (858) 486-9009, or sending an email to Yvonne Waller, ywaller@dsasd.org.

Beneficiary Change

Complete this form if you would like to adjust your beneficiaries on any DSA-held accounts or programs. Please email completed form to Apryle Bryan, abryan@dsasd.org.

CLEA Enrollment

CLEA Long Term Care serves as a disability insurance used when you cannot work due to injury, accident or illness. Please email completed form to Julie Kuhn, jkuhn@dsasd.org.

Donation Request

Complete this form if you would like to request a charitable donation on behalf of an organization. Please email completed form to Louisa Hicks, lhicks@dsasd.org.

Membership Packet

Did you move recently? Let us know of an address change by calling the DSA office, (858) 486-9009, or sending an email to Yvonne Waller, ywaller@dsasd.org.

Relief Packet

The DSA offers a relief program for members who are currently on Leave Without Pay due to a medical emergency. Please email your completed form to Apryle Bryan, abryan@dsasd.org.

Retirement Packet

Complete this packet upon your impending retirement. Please email completed packet and/or questions to Louisa Hicks, lhicks@dsasd.org.

Textbook Reimbursement

The DSA will reimburse members members attending an accredited University for the purchase or rental of books. Send completed forms to Yvonne Waller, ywaller@dsasd.org.