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Get CA CalSTRS ES 0350 2004

/04) PERMISSIVE ELECTION AND ACKNOWLEDGMENT OF RECEIPT OF CALSTRS DEFINED BENEFIT PLAN MEMBERSHIP INFORMATION Please Type or Print Legibly in Black Ink EMPLOYEE CERTIFICATION Name: Social Security Number: (Last) (First) (Initial) Position Title: Education Code Section 22515 permits an employee who performs creditable service (as defined in Section 22119.5), and who is excluded from mandatory membership pursuant to Section 22601.5, 22602 or 22604, to elect membership in the California State.

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