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Get OPM SF 3106A 1996

Tructions given on the other side of this form. Part 1 - To Be Completed by Applicant Instructions: To notify each current or former spouse of your application for a refund of your retirement deductions , complete Part 1 with your name, date of birth and Social Security number and have the current or former spouse complete Part 2. The current or former spouse's signature must be witnessed in Part 3. You may not be a witness. After Parts 2 and 3 have been completed, the form must be returned to .

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