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Get CA PERS-OSS-138 2009

Ipal is defined as a person who empowers another to act as a representative on their behalf. Name of Principal (First Name, Middle Initial, Last Name) County ( City State ZIP ) Daytime Phone By this document I intend to create a durable power of attorney by appointing the person(s) named below to make retirement-related decisions for me as allowed by the California Probate Code. This power is expressly limited to decisions relating to my financial and health benefits under the Califor.

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