Follow the steps to complete the form correctly

1. Click the ‘Get Form’ button to obtain the Authorization for Release of Information form. This will allow you to access the document needed to proceed with your request.
2. Carefully read through the instructions provided on the form. Ensure that you understand the terms and requirements to avoid delays.
3. In section A, indicate how you would like the requested information sent. If you select ‘Mail’, be sure to include the complete address where the information should be sent. If you choose ‘Fax’, allow three business days for processing after PSERS receives the completed form.
4. In section B, select only the specific information that you wish to be released. Avoid selecting all items at once, as this may lead to delays due to the need for additional clarification.
5. In section C, specify how long you want your authorization to be valid. Select only one timeframe from the options provided to avoid potential confusion.
6. Ensure that you only name one person or entity per form. If you need to designate another recipient, a separate form must be submitted for that individual or entity.
7. Remember that you have the right to rescind your authorization at any time. To do this, send a letter to PSERS stating that you are withdrawing your authorization for the previously named individual(s).
8. Finally, print the completed form, provide your handwritten signature, and include the date. Mail or fax the signed form to PSERS using the provided contact information.

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