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NOTICE OF EXCLUSION FROM Callers MEMBERSHIP
1.SOCIAL SECURITY NUMBER2.CURRENT NAME3.NAME OF PUBLIC AGENCYYour employer has contracted with the California Public Employees Retirement
System (Callers)
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What is name of public agency?
The name of the public agency is the Department of Education.
Who is required to file name of public agency?
All public institutions are required to file the name of the public agency.
How to fill out name of public agency?
The name of the public agency can be filled out by providing the full official name of the institution.
What is the purpose of name of public agency?
The purpose of the name of the public agency is to clearly identify the institution in all official documents and communications.
What information must be reported on name of public agency?
The name of the public agency must include the full legal name of the institution, including any official designations or titles.
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