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Washington State Tort Claim Form Packet

www.wsp.wa.gov

Before filing a Tort Claim, please read these instructions , the Tort Claim form and other appropriate forms in their entirety. Type or print clearly in ink and sign the Tort Claim form. Do not staple or tape documents. Do not put in claim form in binders or add divider tabs as all documents must be scanned.

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Direct Deposit Authorization - CalPERS

www.calpers.ca.gov

do not have . Routing Number (nine digits) Account Number . pre-printed, personalized checks, please have . Please use tape to attach your voided, pre-printed personalized check. (Do not staple or paper clip. No deposit slips.) your financial institution complete this section. ( ) Name of Financial Institution Branch Phone Number * Trust Accounts

  Direct, Authorization, Please, Tape, Do not, Deposits, Calpers, Staple, Direct deposit authorization, Do not staple

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