Application for Refund of Additional Member Contributions

Category: #333 | Membership and Service Credit | Application Form | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 6

Document Type: Application Form

Tier Number: Tier 1, Tier 2, Tier 3, Tier 4, Tier 6

File Number: 333

Form #333
Members who are no longer eligible to participate in a special retirement plan may be eligible to receive a refund of their additional member contributions.
Note: By withdrawing your additional member contributions, you forfeit all rights, benefits, and privileges afforded to you by your special plan membership.

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