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Deposit & Service Report

Last Day Member Worked
Line 12: should contain the last date for which the member was compensated, including any paid sick leave or vacation days used (other than severance pay for unused benefits). There is generally a direct relationship among the last day of service, the percent of service credit earned and the total earnings as reported on this form.

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Earnings
Contributions
Service Credit
Last Payroll Date
Contract Information
Certification
Deposit & Service Report for Members with Continuing Employment
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