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Get Judge Member Election Of Former Spouse As A ... - State Of Oregon - Oregon

Rs 3003 Judge Member Election of Former Spouse as a Pension Recipient This designation can be made before or after retirement. Section A: Member information (Type or print clearly in dark ink. Illegible forms could be returned to you, which could delay your request.) First name MI Last name Social Security number* Day phone number PERS number (optional) Section B: Marital status Not Married. Complete Sections C and D. Married. Complete Sections C and E. Section C: Former spouse.

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