Completed if you are an individual who begins providing personal services to a public employer on or after Jan. 7, 2013 but are not considered by the public employer to be a public employee (e.g., you are an independent contractor) and will not have contributions made to OPERS. This form must be completed not later than 30 days after you begin providing personal services to the public employer. STEP 1: Personal Information Social Security Number Date of Birth Month Day Year First Name MI.
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How to fill out the OH OPERS Independent Contractor/Worker Acknowledgment online
Completing the OH OPERS Independent Contractor/Worker Acknowledgment is essential for individuals providing personal services to a public employer. This guide will walk you through each step to ensure accurate and timely submission of the form online.
Follow the steps to successfully complete the OH OPERS form online.
- Press the ‘Get Form’ button to access the acknowledgment form and open it in the online editor.
- Begin filling out your personal information, including your Social Security Number, date of birth, full name, and current employer. Make sure each entry is accurate to avoid processing delays.
- In the Public Employer Information section, provide the name of the public employer you will be serving. Enter the first and last name of your employer contact, followed by their employer code and phone number. Specify the service you are providing and indicate the start and end dates of your service.
- In the Acknowledgment section, read the requirements for independent contractors carefully. Confirm that you understand your classification and that contributions to OPERS will not be made on your behalf.
- Sign the form in the designated area to acknowledge your classification as an independent contractor. Ensure the date is correctly filled in next to your signature.
- Once all sections are thoroughly completed and reviewed, save your changes. You may then download, print, or share the completed form as needed.
Complete the OH OPERS Independent Contractor/Worker Acknowledgment online today to ensure you meet all necessary requirements.
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