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Get Persi Rs130 Form

Also use this form to notify PERSI when the 8-month seasonal/casual employee has been terminated. Instructions Read About Form RS130 attached. Member Information Name First Middle Last Social Security Number Street or P. Name of Certifying Official Title Employee Termination Notice Termination Date mm/dd/yyyy RS130 04/2012 Page 1 of 2 Public Employee Retirement System of Idaho P. O. Box 83720 Boise ID 83720-0078 1-800-451-8228 208-334-3365 Fax.

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