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2015 Benefits InformationRetiree Benefits Annual Benefits Open Enrollment November 1 23, 2014Benefits Administration 333 S. Beau dry Ave, 28th Floor Los Angeles, CA 90017 T: (213) 2414262 F: (213)
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01
Read the retirement eligibility verification form instructions carefully.
02
Fill in your personal information including full name, date of birth, and social security number.
03
Provide employment details such as current employer, job title, and dates of employment.
04
Include details of any previous employers and periods of employment.
05
Attach any supporting documents such as proof of age, social security statements, or employment contracts.
06
Sign and date the form.
07
Submit the completed form to the designated retirement department or agency.

Who needs retirement eligibility verification form?

01
Employees who are approaching retirement age and want to verify their eligibility for retirement benefits.
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Retirement planners or financial advisors who need to validate the retirement eligibility of their clients.
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Companies or organizations that administer retirement plans and need to collect retirement eligibility information from their employees.
04
Government agencies responsible for determining and providing retirement benefits.
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