Web503260-01 Last Name First Name M.I. Social Security Number Number C401K FRLCNT ][06/20/18)(503260-01 CHG NUPARTNO_GRPG 603731/][GP19DOC ID: 477163029)(Page 3 of 3 Required Signatures - My signature indicates that I have read, understand the effect of my election and agree to all pages of this Incoming Direct WebIncoming Rollover Helpline: 800-422-8463 • nysdcp.com To make your rollover to the Plan easier: • The Plan requires you to include a copy of a recent statement from the previous provider. This allows us to confirm ... The New York State Deferred Compensation Plan accepts direct rollovers from the above specified retirement plans and
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