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Get Pers Msd 368 Form

Request for Service Credit Cost Information Redeposit of Withdrawn Contributions 888 CalPERS or 888-225-7377 TTY 877 249-7442 Name of Member Last Name First Name Middle Initial Section 1 Social Security Number or CalPERS ID About You Former Name if applicable Daytime Phone Mailing Address City State ZIP Code Have you requested this cost information before c No c Yes Have you submitted a retirement application c No c Yes Current Employer Request.

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