Attachment "G"
INSTRUCTION SHEET FOR EMPLOYEE RELATING TO DATE OF BIRTH
TO: | Current Date: |
Date of Retirement: |
In the event that you cannot obtain your birth certificate or certification of birth from a State Health Department, you must comply with the following:
1. Execute the attached affidavit, and
2. Supply the Retirement & Benefit Services Division with two of the following documents which reference your date of birth:
Please send the completed affidavit and the documents to:
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