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PSS FORM 616Election to Commute PSS Incapacity Pension to a Lump Sum Please print clearly in black ink. Notes for applicants For your election to be accepted, you must complete this form and return

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01

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02

Start by obtaining the required form from the appropriate election authority.

03

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04

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05

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02

This includes individuals considering positions such as public office, membership in organizations, student government, or any democratic process where candidates are required to provide information about themselves and their campaign.

03

Filling out the form is essential to meet the requirements set by the election authority and to officially declare oneself as a candidate for the election.

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It refers to the process of declaring a candidate's intention to run for a specific office in an election.

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