Get Fl 0781 0511

Filling out the FL 0781 0511 form online can be a straightforward process when guided step by step. This enrollment application is essential for elected or appointed officials looking to participate in the New Jersey Defined Contribution Retirement Program.

Follow the steps to complete the FL 0781 0511 form online.

1. Click ‘Get Form’ button to access the FL 0781 0511 form and open it in your preferred online editor.
2. In the 'Applicant Information' section, enter the applicant's full name. Be sure to include the first name, middle initial, and last name without using any nicknames.
3. Provide the applicant's Social Security number in the designated field.
4. Enter the applicant's date of birth in the format of month/day/year.
5. Indicate the applicant's gender by checking the appropriate box.
6. Fill in the daytime phone number, ensuring to include the area code.
7. Complete the address fields with the applicant's current mailing address, including street, city, state, and zip code.
8. Answer whether the applicant is currently receiving retirement benefits by selecting 'Yes' or 'No' and provide the retirement system name if applicable.
9. Proceed to the 'Employer Information' section. Enter the full employer name and the county where the employer is located.
10. Enter the pertinent location number and payroll number according to your institution's designation.
11. Document the date the applicant began their elected or appointed service using the month/day/year format.
12. Input the annual base salary of the applicant, making sure to exclude bonuses or additional payments.
13. Enter the official title or position of the applicant.
14. Indicate if the applicant is recognized as an elected official.
15. Confirm if the applicant is appointed by Special Resolution or Ordinance or by the Governor.
16. Provide the employer's phone number for the person who is completing this application, ensuring to include any necessary extensions.
17. Obtain the required signatures from both the Certifying Officer and the Certifying Officer’s Supervisor, ensuring the date is also included.
18. Review all the information for accuracy before finalizing the form.
19. Once completed, save the changes made to the form. You may choose to download, print, or share it as needed.

Complete your FL 0781 0511 form online today to ensure your participation in the retirement program.