Get PA PSRS-248 2012
Health Insurance Program Instructions PSRS-248 (08/2012) General This Power of Attorney authorizes your agent to perform on your behalf any transactions with the Public School Employees' Retirement System (PSERS) that you could request yourself. This form is intended for use with PSERS only. Every Power of Attorney document is subject to review and approval by PSERS. You may revoke this Power of Attorney at any time by providing written notice of your revocation to PSERS and to your designate.
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