Get Lump Sum Supplemental Compensation For - Newjersey

This guide provides clear, step-by-step instructions on completing the Lump Sum Supplemental Compensation For - New Jersey form online. Whether you are a retiree or assisting a retiree, this comprehensive outline will help ensure that all necessary information is filled out accurately and efficiently.

Follow the steps to fill out the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. Begin by entering the name of the employee in the designated field. Ensure the name is printed or typed clearly.
3. Indicate the employment classification by selecting either Career, Senior Executive, or Unclassified, and specify if the employment was Full Time or Part Time, including the percentage for part-time work.
4. Fill in the salary at the time of retirement and the effective date of retirement in the respective fields.
5. Document the dates of employment along with the name of the employee’s pension system by selecting from options such as PERS, PFRS, TPAF, or Other.
6. Enter the pension number details and any leaves without pay, listing the dates if applicable.
7. Calculate the total average annual compensation by providing the details of the title, employment period, number of payroll days, and daily rate. Ensure that the total excludes any unpaid leaves.
8. Determine the average daily rate for the last full year of employment, dividing the total compensation by the appropriate number of days based on employment type.
9. State the unused sick leave balance through December 31 of the previous year and the amount earned up to the effective date of retirement.
10. Accumulate the total sick days accrued and subtract the days used from this total to find the balance of sick leave at retirement.
11. Calculate the amount by multiplying the balance of sick leave by the average daily rate and dividing by two, ensuring it does not exceed the total payment limit of $15,000.
12. Complete the sick leave information section for unclassified service, marking 'Yes' or 'No' as applicable and providing explanations on the reverse side if required.
13. Certify that all statements made in the application are true by signing and dating the form in the designated areas.
14. Submit the completed form along with the pension approval letter to the Civil Service Commission Compensation/SCOR Unit at the provided address.

Get started on completing your document online today!