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CORRECTIONS OFFICER RETIREMENT PLAN FORM C6 3010 E. Camelback Rd., Suite 200 (602)255-5575 FAX (602)296-2368 www.psprs.com 8/11-Page 1 of 2 APPLICATION FOR A SEPARATION REFUND OR DEFERRED ANNUITY

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Form C6 - Application is a form used for a variety of reasons, such as applying for a visa, work permit, or permanent residence in a country.

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