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PERAC Employer Forms

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Employer's Request for Information, Open PDF file, 61.28 KB (English, PDF 61.28 KB)
Employer's Shift Substitution Certification, Open PDF file, 250.28 KB (English, PDF 250.28 KB)
Employer's Termination Retirement Certification, Open PDF file, 59.48 KB (English, PDF 59.48 KB)
Employer Statement for Disability Retirement Application, Open PDF file, 368.29 KB (English, PDF 368.29 KB)
Involuntary Retirement Application, Open PDF file, 421.97 KB (English, PDF 421.97 KB)
Retiree Post Retirement Earnings Calculator (not Disability), Open XLSX file, 16.51 KB (English, XLSX 16.51 KB)

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