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Sers296 retirement edit 2026

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  1. Click ‘Get Form’ to open the sers296 retirement edit in the editor.
  2. In Section A, enter your name, municipality, county, and state. Designate one or more agents by providing their names and addresses. Specify if they must act together or can act individually.
  3. In Section B, indicate whether your agent may name themselves as a beneficiary or survivor annuitant by checking the appropriate box.
  4. If you named your spouse as an agent, complete Section C to confirm if the Power of Attorney remains effective in case of divorce.
  5. In Section D, decide if the Power of Attorney should become void upon your disability or incapacity; otherwise, it will remain effective.
  6. Complete Section E if you are physically able to sign. Sign and date the form, and have a witness sign as well.
  7. If you cannot physically sign, go to Section F. Make your mark and have someone write your name in your presence with two witnesses present.

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pennsylvania sers 296 form system

DEFINED BENEFIT PLAN POWER OF ATTORNEY

1.800.633.5461. This Power of Attorney authorizes your agent to perform on your behalf any transactions with the State Employees Retirement System (SERS)

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