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Get FL Retirement System - Certification Form 2019-2024

Agency Name Previous or Current FRS Employer Complete Section I if you have never been a member of a State of Florida administered retirement plan. Complete Section II if you are a current or previous member AND Section III if not retired OR Section IV if retired. I. I have never been a member of a State of Florida administered retirement plan. STOP HERE SIGNATURE DATE II. I was or currently am a member of the following State of Florida administered retirement plan (also complete Section I.

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