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Form ERS SMS Statement of Military Service Act 66

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Form Instructions

INSTRUCTIONS: ALABAMA STATEMENT OF MILITARY SERVICE ACT 66 (Form ERS SMS)

Alabama public employees enrolled in a state-administered retirement plan can obtain credit for active military service by filing the form discussed in this article. This document can be obtained from the website of the Retirement Systems of Alabama.

Alabama Statement Of Military Service Act 66 ERS SMS Step 1: Enter your first, middle and last name on the first blank line.

Alabama Statement Of Military Service Act 66 ERS SMS Step 2: Enter your address on the second blank line.

Alabama Statement Of Military Service Act 66 ERS SMS Step 3: Enter your Social Security number on the third blank line.

Alabama Statement Of Military Service Act 66 ERS SMS Step 4: Check the first box if you are currently receiving no retirement benefits.

Alabama Statement Of Military Service Act 66 ERS SMS Step 5: Check the second box if you are currently receiving service retirement benefits from a branch of the Armed Forces.

Alabama Statement Of Military Service Act 66 ERS SMS Step 6: Check the third box if you are currently receiving service retirement benefits based partially on military service from a source other than a branch of the Armed Forces. Specify the source on the blank line provided.

Alabama Statement Of Military Service Act 66 ERS SMS Step 7: Check the fourth box if you are currently receiving disability retirement benefits from a branch of the Armed Forces.

Alabama Statement Of Military Service Act 66 ERS SMS Step 8: Check the fifth box if you are currently receiving disability retirement benefits based partially on military service from a source other than a branch of the Armed Forces. Specify the source on the blank line provided.

Alabama Statement Of Military Service Act 66 ERS SMS Step 9: Enter your signature on the next blank line.

Alabama Statement Of Military Service Act 66 ERS SMS Step 10: Enter the date on the next blank line.

Alabama Statement Of Military Service Act 66 ERS SMS Step 11: The firm should be certified by a notary public.

Alabama Statement Of Military Service Act 66 ERS SMS Step 12: Mail the completed form to the address given at the top of the page. Further assistance in completion can be obtained by calling the numbers given here.

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