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Get Information Sheet Disability Template 2012-2024

Commonwealth of Pennsylvania - Public School Employees' Retirement System 5 N 5th Street Harrisburg PA 17101-1905 Toll-Free: 1-888-773-7748 Web Address: www.psers.state.pa.us General Information Sheet for PSERS Health Insurance Program Disability Retirement PSRS-123 (08/2012) Completion of Medical Forms: The rapid processing/renewing of disability retirement depends on current, detailed medical data. The member is responsible for submission and payment of medical documentation. Your physicia.

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