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Prior State Service VericaonPART 1 TO BE COMPLETED BY EMPLOYEE Employee Name:UHD Employee ID:UHD Start Date:DOB:Last Four SSN:Former State Employer:From DateTo DatePART 2 TO BE COMPLETED BY STATE
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How to fill out prior state service form

01
Obtain a copy of the prior state service form from the relevant authority or agency.
02
Read the instructions provided on the form carefully, as they will guide you through the filling process.
03
Start by providing your personal information, such as your name, address, and contact details.
04
Fill in the required information about your prior state service, such as the duration of employment, job title, and employer.
05
If applicable, include any additional information or documentation requested on the form, such as proof of service or references.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the form as required.
08
Follow the specified submission instructions to submit the filled-out form to the relevant authority or agency.
09
Keep a copy of the filled-out form for your records.

Who needs prior state service form?

01
Individuals who are seeking to claim or document their prior state service may need to fill out a prior state service form. This form is typically required by the relevant authority or agency responsible for administering state service benefits, such as pension or retirement benefits. It may also be necessary for individuals applying for certain job positions or programs that consider prior state service as a qualification or eligibility requirement.
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The prior state service form is a document used to report previous employment and service with a state or governmental entity.
Employees or applicants seeking to transfer their prior state service credits or benefits to a new position within the state government are required to file this form.
To fill out the prior state service form, provide your personal information, details of prior employment, including dates of service, and any relevant identification numbers, then submit it to the designated agency.
The purpose of the prior state service form is to track and verify an employee's previous service to ensure accurate benefit calculations and recognition of service time.
Information required includes personal identification details, employment history with start and end dates, reasons for leaving, and any other relevant service-related information.
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