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Plan 1 or Plan 2 Send completed form to: Contribution ...

Plan 1 or Plan 2 members use this form to request a refund of retirement contributions. Send completed form to: Department of Retirement Systems PO Box 48380 ꔷ Olympia, WA 98504-8380 Phone 800.547.6657 ꔷ TTY: 711 Fax 360.664.7975 ꔷ www.drs.wa.gov DRS MS 287 2/22 Read This This is not a retirement application for a pension benefit.

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