Keep the following items in mind when completing this form to prevent delays in processing your 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your name in the designated area. Ensure that your printed name is clear and legible to avoid processing delays.
3. In section A, select how you would like PSERS to send your information. If you choose 'Mail', provide a complete mailing address. For 'Fax', include the fax number and allow up to three business days for processing.
4. Move to section B and carefully select only the specific information you wish to authorize for release. Avoid checking all boxes, as this may lead to delays due to required clarifications.
5. In section C, indicate how long you want your authorization to remain valid by selecting one time frame only.
6. Sign and date the form at the bottom. Remember, a handwritten signature is necessary for processing.
7. Finally, print the completed form and return it via mail or fax using the contact details provided at the top of the document.

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