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Get Psrs 1236
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How to fill out the Psrs 1236 online
This guide provides clear and comprehensive instructions for completing the Psrs 1236 online form. Whether you are a parent or guardian, this step-by-step approach will help ensure you fill out the form accurately and efficiently.
Follow the steps to complete the Psrs 1236 online form.
- Click ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin by entering the name of the child and their birthdate in the designated fields.
- Next, provide the name and address of the parent or guardian who is filling out the form.
- In Section A, answer the medical history questions. Carefully indicate any allergies, current medical care, medications, hospitalizations, significant diseases, or disabilities.
- Section B requires a licensed physician or an authorized examiner to complete and sign the physical examination section. Ensure the examiner fills in all relevant health measurements and observations.
- In Section C, document the child's immunization history. Enter the date for each vaccine dose or attach a copy of the immunization record.
- After you have filled out all sections, review the information for accuracy, then save changes to the form. You can download, print, or share the completed document as needed.
Complete your documents online for a seamless experience.
On December 3, 2020 the PSERS Board of Trustees certified an employer contribution rate of 34.94% for fiscal year (FY) 2021/2022, which begins July 1, 20212. The 34.94% rate is composed of a 0.80% rate for health insurance premium assistance, 0.15% for Act 5 Defined Contribution, and a pension rate of 33.99%.
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