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Foothill-De Anza Community College District for retirement benefits and medical provider correspondence RETIREE - ALTERNATE CONTACTS FORM DO YOU CURRENTLY HAVE A DESIGNATED POWER OF ATTORNEY POA YES NO Note that Power of Attorney POA documentation may be provided if you have recently designated or updated your records only. PLEASE LIST TWO 2 EITHER NEXT OF KIN OR CLOSE RELATIVE IN THE EVENT WE ARE UNABLE TO CONTACT YOU FOR ANY REASON RETIREE NAME Last 4 digits of SSN 1 ALTERNATE CONTACT...

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