Transcription of APPLICATION FOR REFUND
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APPLICATION FOR REFUND
TRS 6 TEACHER RETIREMENT SYSTEM OF TEXAS. Rev. 07-13 1000 Red River Street, Austin, Texas 78701-2698. Telephone (512) 542-6400 or 1-800-223-8778. *+6* APPLICATION FOR REFUND . Name Social Security No. Address: Street Address or Box Number City State Zip Code Telephone No. Date of Birth Last Day of Employment AUTHORIZATION TO ISSUE PERSONAL IDENTIFICATION NUMBER. I authorize TRS to issue to me a personal identification number (PIN) which may be used to access information through the automated telephone system. I authorize the release of any information regarding my account to anyone using my PIN.
TRS 6 Rev. 07-13 APPLICATION FOR REFUND AFFIRMATION THAT EMPLOYMENT HAS PERMANENTLY TERMINATED I hereby affirm that I have permanently terminated my employment with any employer covered by the Teacher Retirement
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