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Employee Certification of Employment Statement for Covered Part-Time

Oklahoma Teachers' Retirement System Employment
(2015-2016)

(For Part-time or Adjunct Employment on or after July 1, 2015)

Our records indicate that you have been hired by Southwestern Oklahoma State University on a part-time basis. In order to know your status regarding whether or not to withhold Oklahoma Teachers' Retirement, please complete the information below:

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