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Signature If you are a member of a retirement system not currently a CalPERS member forward this form to your current retirement system for completion of Sections 4 5 and 6 before returning to CalPERS. PERS-MSD-368 4/04 Page 1 of 2 Member Name This request form is used to obtain the member and employment information required to redeposit withdrawn establish reciprocity with the current retirement system. CalPERS must receive information on this form in order to process this request. A Guide...
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