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FICA REFUND REQUEST  OR  OPS FICA ALTERNATIVE RETIREMENT PLAN CONTRIBUTION REFUND REQUEST    The employing agency must complete Part I and II to request a refund of Federal Insurance Contrib
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Document Date: 2013-05-20 16:46:18

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City

DFS / /

Company

HD HF / Last Name First Name Middle Initial Last / /

Country

United States / /

Currency

USD / /

Facility

See IRS Pub / /

IndustryTerm

online retirement adjustment / /

Organization

State hospital / ON PD PF / Bureau of State Payrolls / Internal Revenue Service / Medicare / /

ProgrammingLanguage

J / /

ProvinceOrState

Florida / /

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