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543. 0055 Rev 07-2010 PCA Retirement Plan Spousal Consent Page SPOUSAL CERTIFICATION - Required Participant Must Check One of the Following I hereby certify that I am currently married. -- Spouse must complete Spousal Consent Section. -- Do not complete Spousal Consent Section. under the Qualified Domestic Relations Order. Retiree Periodic Distribution Request must be received by the 15th of the month or prior business day to be included with the next scheduled installment. Quarterly...

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