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AFSCME - Benefit Program, Dues, or Income Protection - Contact AFSCME at 622-6191 Direct Deposit Duplicate W-2 Lost Check MSEA Application MSEA Income Protection Plan Application-Contact MSEA at 622-3151 MSRS Application - Regular State Employees MSRS Cancellation/Reduction in Coverage MSRS Change in Beneficiary Group Life Insurance MSRS Dependent Insurance MSRS Group Life MSRS Plan & Option Form - Per 116 or 117 MSRS Request for Basic and/or Additional Insurance Coverage Requiring Evidence of Insurability MSRS Purchase Service Credit Agreement - Contact Maine State Retirement Maine State Troopers Association - Contact MSTA at 622-2277 Payment Reversal Replacement Check Request Savings Bond Request W-4 Employees Withholding Certificate W-4ME State Form W-4 ME State W-5 Earned Income Credit Advance Payment Certificate
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