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PA SERS-296 free printable template

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COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYEES RETIREMENT SYSTEM 30 NORTH THIRD STREET, SUITE 150 HARRISBURG, PENNSYLVANIA 17101-1716 TOLL-FREE: 1-800-633-5461 www.sers.state.pa.us POWER OF ATTORNEY
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How to fill out PA SERS-296

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How to fill out PA SERS-296

01
Obtain the PA SERS-296 form from the official Pennsylvania Public School Employees' Retirement System website or your local office.
02
Read the instructions carefully before starting to fill out the form.
03
Provide your personal information in the designated fields, including your name, Social Security number, and contact information.
04
Fill out the employment information section, including your employer's name and address.
05
Complete the service credit information by indicating the number of years of service and any contributions made.
06
If applicable, disclose any additional information required in the sections provided.
07
Review the completed form for any errors or omissions.
08
Sign and date the form at the bottom.
09
Submit the form to the appropriate Pennsylvania SERS office via mail or any other specified method.

Who needs PA SERS-296?

01
Employees of Pennsylvania's public schools who are seeking to report service credit or make contributions to their retirement plan.
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PA SERS-296 is a form used by the Pennsylvania State Employees' Retirement System (SERS) that pertains to reporting certain financial and employment-related information of members and employers.
Employers participating in the Pennsylvania State Employees' Retirement System are required to file PA SERS-296 for their employees who are members of the retirement system.
To fill out PA SERS-296, employers must provide accurate information about their employees, including personal details, employment dates, salaries, and contributions to the retirement system, as outlined on the form's instructions.
The purpose of PA SERS-296 is to ensure that accurate and consistent information is reported to the Pennsylvania State Employees' Retirement System for the proper administration of retirement benefits.
The information that must be reported on PA SERS-296 includes employee identification details, employment history, salary information, contribution amounts, and any other relevant data required by the retirement system.
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