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HA07800917Pensions & BenefitsState of New Jersey Department of the Treasury Division of Pensions & Benefits (NJ DPB)P.O. Box 299 Trenton, NJ 086250299State Employee Coverage Waiver/Reinstatement State
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ha-0780-0917 is a form used for reporting specific financial information to the relevant authority.
Certain businesses or individuals may be required to file ha-0780-0917 based on their financial activities.
To fill out ha-0780-0917, you will need to provide accurate and detailed financial information as per the instructions provided on the form.
The purpose of ha-0780-0917 is to ensure transparency and compliance with financial regulations by reporting relevant information.
Information regarding financial transactions, income, expenses, and other relevant financial details may need to be reported on ha-0780-0917.
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benefit waiver New_Jersey shbp njdpb reenroll nj retiree certifying reinstatement retroactive enrollment pensions waived prohibited timetable trenton waive voluntarily contributions

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