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Get GA TRS DB-4 2005-2024

Ng specialists), psychologists, psychiatrists, hospitals and/or clinics you have seen in the last 12 months from whom you are requesting medical information relating to your disability. Be sure to provide complete information for each provider. Please send this form with your Application for Disability Retirement form to TRS. If you need additional space, please use the back of this page. To Be Completed by Member -- please print clearly ________________________________________ .

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