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Get TX TMRS 40/OC 2018

Dle, last) Social Security Number Mailing Address Daytime Phone Number City Do State Zip Member’s Employing City not complete this form if a copy of the city statement is not attached. DISABILITY INFORMATION • You will need to attach additional documentation to support your answers to the questions below (i.e. current history and physical, narrative report or comprehensive consultation or any other documentation which will assist TMRS in making a det.

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