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Member Certification I hereby certify and affirm under penalty of law that the information I have provided in this termination notice is true and correct. I understand it is my responsibility to notify PERA of any address changes. Member s Signature Date Mailing Address Telephone No. Marital Status Married Never Been Married Divorced provide court endorsed copy of divorce decree s Widowed If married a NOTARIZED spousal signature is required before PERA can process a refund or rollover....
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How to fill out pera termination notice

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How to fill out PERA TERMINATION NOTICE

01
Start by downloading the PERA TERMINATION NOTICE form from the official PERA website.
02
Fill in your full name and personal information at the top of the form.
03
Indicate the reason for termination in the appropriate section.
04
Provide details regarding your PERA account such as account number and related information.
05
Sign and date the form at the bottom to validate it.
06
Submit the completed form to your employer or directly to the PERA office as instructed.

Who needs PERA TERMINATION NOTICE?

01
Employees who are terminating their participation in the PERA retirement plan.
02
Employers who need to process the termination of an employee's PERA account.
03
Anyone who wishes to withdraw funds from their PERA account upon leaving employment.
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PERA Termination Notice is a formal document notifying the Public Employees Retirement Association (PERA) about the termination of employment of a public employee, which affects their retirement benefits.
Employers of public employees who are members of PERA are required to file the PERA Termination Notice when an employee terminates their employment.
To fill out the PERA Termination Notice, employers must provide details such as the employee's name, social security number, date of termination, and other relevant information as specified by PERA.
The purpose of the PERA Termination Notice is to formally inform PERA of an employee's termination to ensure that their retirement benefits are accurately calculated and managed.
The information that must be reported on the PERA Termination Notice includes the employee’s full name, social security number, date of termination, reason for termination, and any other required details set forth by PERA.
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