Persi application: Fill out & sign online

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01. Edit your form online

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02. Sign it in a few clicks

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03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open the persi application in the editor.
Begin by filling out the Member Information section. Enter your full name, Social Security Number, mailing address, and contact details. Ensure all information is accurate.
In the Retirement Benefit Payment Options section, select your preferred retirement option by checking the appropriate box. If applicable, initial next to your choice.
If you selected Option 1, 2, 4A, or 4B, complete the Contingent Annuitant Selection section with the required details of your chosen annuitant.
For direct deposit authorization, fill in the Financial Institution Information section and attach a voided check or relevant documentation as instructed.
Complete the Member Acknowledgment and have it notarized. If married, ensure your spouse completes their acknowledgment before a notary as well.
Review all entries for accuracy and completeness before saving your document. Keep a copy for your records and submit the original form to PERSI.

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