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Get RI 38-117 2011

Ur election. A mistake in completing this form could prevent the Office of Personnel Management (OPM) from paying as you wish or could cause delay in processing your payment. If we do not receive your election by the reply date shown, we will pay you as though you had selected Option A. Please reply by Taxable Portion Non-taxable Portion Part 1 - For use by Former Employees and Retired Employees (Complete Part 1 and Part 3.) Your Name Claim Number Your Social Security Number Part 2 - For u.

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