Get Uh Form 107 - University Of Hawaii - Hawaii

The UH Form 107 is designed for individuals seeking to certify their membership in the State of Hawai‘i Employees’ Retirement System (ERS). This guide provides clear, step-by-step instructions on how to accurately complete this form online.

Follow the steps to fill out the UH Form 107 accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name and title in the designated fields. Then, indicate your campus, school, or program affiliation.
3. Answer the first question regarding your previous employment. If you have worked half-time or more for more than three months, check 'Yes' and proceed to the next questions. If not, check 'No' and move to the certification statement.
4. For the second question, indicate if you have ever been a member of the State Employees’ Retirement System (ERS) by selecting either 'Yes' or 'No.'
5. Complete the next questions by providing the dates you last started and left State or County employment. Fill in the month and year in the provided spaces.
6. State whether you were vested with the ERS upon termination by selecting either 'Yes' or 'No.'
7. Indicate if you requested and received a refund of contributions by checking either 'Yes' or 'No.'
8. Select the retirement plan in which you were last enrolled: Contributory, Non-contributory, or Hybrid.
9. Read the certification statement carefully, confirming that you have answered all questions accurately to the best of your knowledge.
10. Sign and date the form in the spaces provided at the bottom.
11. Once you have filled out all sections of the form, save any changes you made to the document. You may then download, print, or share the completed form as needed.

Now that you are equipped with the knowledge to complete the UH Form 107, proceed to fill it out online.