Pera form 2026

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Click ‘Get Form’ to open the pera form in the editor.
In Part A, enter your name, last four digits of your Social Security Number, and PERA ID number. Ensure all information is accurate for a smooth processing.
Once you complete Part A, notify your current public employer to fill out Parts B and C. They will verify your information and provide necessary details regarding your termination date.
In Part B, your employer must confirm if there are any agreements for rehire and answer questions regarding your employment status. This section is crucial for compliance with IRS rules.
Finally, ensure that Part C is signed by an authorized employer representative. This signature is essential for the form's validity before submission.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (65 Votes)
2017	4.4 Satisfied (53 Votes)

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