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Get Instructions For Data Verification Employer Request For An Extension

Ctions for Data Verification Employer Request for an Extension General information Type or print clearly in dark ink. Illegible forms could be returned, which could delay your request. Do not change anything on the form; alterations will void the form. Sign and date the form and mail to PERS at PO Box 23700, Tigard OR 97281-3700. Section A: Employer information (Type or print clearly in dark ink. Illegible forms could be returned to you, which could delay your request.) Fill out empl.

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