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New Hampshire Retirement System 54 Regional Drive, Concord, NH 03301 Phone: (603) 4103500 Fax: (603) 4103501 Website: www.nhrs.org Email: info@nhrs.orgNHRS SPECIAL TAX NOTICE REGARDING YOUR ROLLOVER

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How to fill out terminated members request for

01

Gather all necessary information of the terminated member including their full name, employee ID, date of termination, and reason for termination.

02

Fill out the terminated members request form with the gathered information.

03

Submit the completed form to the designated department or Human Resources for processing.

Who needs terminated members request for?

01

Human Resources department staff

02

Employers/Managers who are responsible for the termination process

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What is terminated members request for?

It is a form used to request termination of a member from a certain organization or group.

Who is required to file terminated members request for?

Any member of the organization or group can file the request for termination of a member.

How to fill out terminated members request for?

The form should be filled out with the required member information and reason for termination.

What is the purpose of terminated members request for?

The purpose is to officially request the termination of a member from the organization or group.

What information must be reported on terminated members request for?

The form should include the member's name, ID number, reason for termination, and any supporting documentation.

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