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E System being unable to perform its functions regarding your status. You have the right to review your membership files maintained by the System. For questions concerning your rights under the Information Practices Act of 1977, please contact the Information Practices Act Coordinator, CalPERS, P.O. Box 942702, Sacramento, CA 94229-2702. INSTRUCTIONS FOR THE COMPLETION OF FORM HBD-85 (11/04) Part A: 1. Type of Action. Check new if this is a new enrollment. Check change if family mem.

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