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Home / Benefits / Plans and Programs / Retirement Plans / Request for Retirement Application Kit

Request for Retirement Application Kit

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Name* Address* City* State* Zip* Phone No.* Email Address* Last Four Digits of Your SSN* Proposed Retirement Date*

Beneficiary’s Name Beneficiary’s Date of Birth Your Relationship to Your Beneficiary

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(800) 395-5565

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510 South Capitol Avenue
Lansing, Michigan 48933

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