Downloading a Form to Your Computer
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- Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
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To provide a means of requesting the amount of benefit paid to a beneficiary of the Teacher Retirement System.
When to Prepare
The Medicaid eligibility worker or CCAD worker prepares Part I of Form H1297 to request benefit information from the Teacher Retirement System.
Number of Copies
The worker prepares an original and two copies.
The worker mails the original and first copy to the Teacher Retirement System. He retains the second copy in the case folder. When the reply is received from the Teacher Retirement System, he destroys the copy.
The Teacher Retirement System staff completes Part II of Form H1297 and returns the original to the worker.
The original of Form H1297 is kept in the case folder for three years after denial of the client.