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Medical Plan Enrollment Form 5106283000 18008381932 fax: 5102689574 info@acera.org 475 14th Street, Suite 1000 Oakland, CA 94612 SE CT ION 1Member Information Your Name (First Name, Middle Initial,
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Alameda County Employees' Retirement Association Form 475 is a document used to report earnings for retired members.
Retired members of the Alameda County Employees' Retirement Association are required to file Form 475.
Form 475 can be filled out electronically or manually, following the instructions provided by the Alameda County Employees' Retirement Association.
The purpose of Form 475 is to report earnings and ensure accurate pension payments for retired members of the Alameda County Employees' Retirement Association.
Form 475 must include details of the retiree's earnings, such as compensation and any other sources of income.
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