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OKHEEIBenefit Election Form January 1, 2018, December 31, 2018, SECTION 1: EMPLOYEE INFORMATION Name (Last, First, M.I.)SSNInstitutionMailing Addressing/StateDOBMain Phone NumberGenderMarital Stature

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The purpose of retired under 65 is to ensure that individuals who retire before the age of 65 receive the appropriate benefits.

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Information such as retirement date, reasons for retiring early, and any pension or retirement accounts must be reported on retired under 65.

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