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State of Indiana Retirement Medical Benefits Account Plan Claim Form This Signed Form Must Accompany Each Group of Receipts Submitted Employee Last Name:Employee First Name:MI:Social Security Number:980H Date
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01
To fill out the state of Indiana retirement application, follow these steps:
02
Obtain the retirement application form from the State of Indiana retirement website or the Human Resources department of your employer.
03
Read the instructions carefully and gather all the required documents such as identification proof, birth certificate, social security number, and employment details.
04
Fill in your personal information such as your full name, address, contact details, date of birth, and social security number.
05
Provide information about your current employment status, including the name of your employer, your job title, and the length of your service.
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Fill in the details of your retirement plan, including the type of plan, your account number, and the amount of monthly contributions.
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If applicable, provide information about any previous pensions or retirement plans you have participated in.
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Sign and date the application form, certifying that the information provided is accurate and complete.
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Submit the completed application form along with the required documents to the State of Indiana retirement office or your employer's Human Resources department.
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Wait for the confirmation of your retirement application and follow any further instructions provided by the retirement office or your employer.

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State of Indiana retirement refers to the retirement plan offered to employees of the state of Indiana.
Employees of the state of Indiana who are enrolled in the retirement plan are required to file state of Indiana retirement.
State of Indiana retirement can be filled out online through the state's retirement system website or by submitting a paper form.
The purpose of state of Indiana retirement is to provide retirement benefits to employees of the state.
Information such as employee's personal details, contribution amounts, and beneficiary information must be reported on state of Indiana retirement.
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