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Federal Employees Retirement System General Administration  Form

Federal Employees Retirement System General Administration Form

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One Social Security Number Retirement claim number CSRS Date of birth mm/dd/yyyy FERS CSA Also show name of survivor of former employee if applicable CSF Description of Debt Name and address to which payment should be made Date service terminated mm/dd/yyyy Amount of debt Date claim accrued mm/dd/yyyy Amount of each installment Appropriation or fund to credit title and symbol number if applicable Disbursing officer name and symbol number if applicable Additional interest check one will accrue...
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