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23717250Student Employee Retirement Option00Student Employee Retirement Option I understand that I may elect to enroll in the New York State Employees Retirement System.I understand that, if this election is chosen, there will be a 3% deduction (based on gross wages) per paycheck for my employee contribution. I also understand that to become eligible for benefits at age 62, I will have to complete the equivalent of 10 years of full time New York State Service._______ I do not wish to participate._______ I wish to enroll. (To enroll, I will contact the Payroll Services Office, Doty 318, for an enrollment package.) Checking this box DOES NOT make me a member of the retirement system._____________________________Name (Please Print)3638549163830_____________________________ Signature Date ................
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