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Get Es0372 Form Calstrs

Ffice of Education) I certify that the employee meets the qualifications to make a retirement system election. CO/DIST/STATE DEPT NAME SCHOOL/STATE OFFICIAL'S NAME CALSTRS REPORT UNIT CODE TITLE SIGNATURE OF SCHOOL/STATE OFFICIAL COUNTY OFFICIAL'S NAME SIGNATURE OF COUNTY OFFICIAL PHONE NUMBER DATE TITLE PHONE NUMBER *CalPERS Employer Code: RETIREMENT SYSTEM ELECTION REV 11/13 PAGE 1 OF 1 Retirement System Election Information and Instructions The following instructions are t.

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