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Beneficiary Update Form

Please print this PDF form and then fill this out and mail it to us as indicated on the form. We do not accept applications sent via email. Thank you.

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Or call  800 544·4772

SRA Office
STARS Center

11515 Colima Road, Bldg.B, Whittler, CA 90604
Phone: (562) 946-7081      Toll Free 1(800) 544-4772
Fax (562) 946-5302
Hours 0800 - 1700
Mon - Fri

Emporium # 1
Biscailuz Center
(Temporarily Closed)

Emporium # 2
S.T.A.R.S Center
Hours 0900 - 1630
Mon - Fri
Phone: 562-946-7271
Emporium # 3
Pitchess Det. Center
Hours 0900 - 1630
Tue - Fri
Phone: 661-295-8030

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