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RET54 (8/17)OFFICE SERVICES ONLINE YORK STATE TEACHERS RETIREMENT SYSTEM
10 Corporate Woods Drive, Albany, NY 122112395APPLICATION FOR RETIREMENTEmplIDSocial Security NumberORInstructions: Print clearly
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Instructions should be printed clearly in English.
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Anyone who is providing instructions that need to be followed.
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Instructions can be filled out by typing or writing them clearly.
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The purpose is to provide clear guidance or information.
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The necessary steps or details that need to be communicated.
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