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Get How To Complete Membership Form Tennessee Department Of Treasury

N BLACK ink. The payroll/personnel officer must complete the shaded areas. Not to be used as a Change of Beneficiary Form. New Member Transfer from Another TCRS Agency Member Information Social Security Number Birth Date Last Name First Name Sex Address City State Home Telephone Work Telephone Membership Date Zip Department Code Employment (check one) Full Time Status Seasonal Regular If teacher, total months worked per year Retirement Type Part Time Employment Date Tempor.

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