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At the address noted above. Retain a copy of the completed form for your records. If this form is being completed and signed by anyone other than the retiree/annuitant, a copy of a legal document establishing that person's authority to do so must be submitted to the Division with this change form. To safeguard the interests of members of the Municipal Employees' Retirement System, the Retirement Services Division will accept only an approved Form CO-1049, Power of Attorney, or a copy of a court.

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