Pa application multiple form 2025

1. Click ‘Get Form’ to open the pa application multiple form in the editor.
2. Begin by filling out the Member Information section. Enter your full name, Social Security Number, and select your sex. If you have a new address, check the corresponding box and provide your street address, city, state, and zip code.
3. Next, input your date of birth and contact information including your email address and daytime/evening phone numbers.
4. In the Multiple Service Election section, confirm your election for multiple service membership by checking the appropriate box. Ensure you understand the implications of this election as stated in the form.
5. List any previous employment with state agencies along with approximate dates of employment in the designated area.
6. Indicate whether you are currently receiving an annuity from SERS by selecting 'Yes' or 'No'.
7. Finally, complete the Member Certification section by signing and dating the form to certify that all information is accurate.

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