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RESET FORMNONMEDICARE STATE OF DELAWARE OFFICE OF PENSIONS APPLICATION FOR NONMEDICAL HEALTH CARE COVERAGE If refusing coverage, please complete Section A and sign the refusal at the bottom of page

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How to fill out retiree forms - state

01

Obtain retiree forms from the state retirement office.

02

Fill out the personal information section including name, address, social security number, and date of birth.

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Who needs retiree forms - state?

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Retirees who are eligible for retirement benefits from the state need to fill out retiree forms to apply for and receive their benefits.

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Retiree forms - state are forms that retired individuals need to file with the state government.

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The purpose of retiree forms is to report retired individuals' income and possibly claim retirement-related deductions or credits.

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