Get Certification Of Service And Final Salary - State Of New Jersey - State Nj

Completing the Certification Of Service And Final Salary form is a vital step for members of the New Jersey public employees' retirement system when applying for retirement benefits. This guide provides a clear and user-friendly approach to filling out the form correctly to ensure smooth processing of your retirement application.

Follow the steps to complete your form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by filling out the name of the member in the designated field at the top of the form. Ensure the name is spelled correctly as it appears on official documents.
3. In the next field, enter the member's membership number accurately which is essential for identifying the individual within the pension system.
4. Complete sections 4a and 4b by entering the employing agency's name and the employer location number respectively. This information helps in confirming the employment history.
5. Fill in the social security number in the specified section. This number is crucial for processing retirement benefits and should be entered without errors.
6. On the next part, input the date service terminated. Please note that this date must precede the retirement date. Confirm no further services or salaries will be rendered after this date.
7. Indicate whether the member was a part-time employee by selecting 'Yes' or 'No' as applicable.
8. If the member is currently on suspension, mark the appropriate box and provide the date if applicable. If facing disciplinary action, include any required documentation.
9. Make a list of any unpaid leaves taken in the last 12 months by specifying the reason for absence and the date range.
10. Calculate the base salary subject to pension contributions for the final year of service. Document the number of months worked, month salary, and the total salary for that period.
11. If there was a significant salary increase in the past three years, prepare to attach an explanation and relevant documentation. Remember, processing will be delayed if this is not included.
12. Indicate any retroactive salary payments made within the last three years and provide all required details about these payments.
13. Complete section 12 by detailing the deductions made or to be made from the base salary during the final two quarters.
14. Sign the certification at the bottom of the form, confirming the truthfulness of all provided information. Include the certifying officer's name, phone number, and email address.
15. Save your changes, then download or print the completed form for submission.
16. Submit the completed certification to the Retirement Bureau, Division of Pensions and Benefits, at the provided address.

Complete your document online today to secure your retirement benefits. Don't delay in submitting your Certification Of Service And Final Salary form.