| Your birth date: |
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Month (01-12): |
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| Year (00-99): 19 |
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| The date you want to retire: |
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Month (01-12): |
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Year (e.g., 2015): |
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| Years of Credited Service you expect to have at retirement: |
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| (DO NOT INCLUDE UNUSED SICK LEAVE, RETIREMENT INCENTIVES, AND NONQUALIFIED "AIR TIME" SERVICE) |
Credited Service
(05.000 or more): |
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(NONQUALIFIED "AIR TIME" SERVICE.)
(DO NOT INCLUDE RETIREMENT INCENTIVE SERVICE CREDIT) |
Other Service Credit
(.001 - 5.000): |
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| Enter the amount of Sick Leave Credit: |
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Unused Sick Leave Days |
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Contract Base Service Days |
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| Select the Retirement Incentive you expect to receive: |
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No Retirement Incentive |
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2 Year Service Credit Incentive |
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Yearly salaries from your last three years of work:
(IF YOU HAVE 25 OR MORE YEARS OF CREDITED SERVICE, YOU ONLY NEED TO ENTER YOUR SINGLE HIGHEST YEAR SALARY) |
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This year's salary: |
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| (NOT REQUIRED IF YOU HAVE 25 OR MORE YEARS SERVICE CREDIT) |
Salary last year: |
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| (NOT REQUIRED IF YOU HAVE 25 OR MORE YEARS SERVICE CREDIT) |
Salary two years ago: |
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Show estimate for NO beneficiary |
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Show estimate for SINGLE beneficiary |
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