Get Ep 0233 0415

Filling out the Ep 0233 0415 Employment Verification Form can seem daunting, but with the right guidance, you can complete it with confidence. This guide will walk you through each section of the form, providing clear instructions tailored to your needs.

Follow the steps to complete the Ep 0233 0415 form efficiently.

1. Click the ‘Get Form’ button to access the Ep 0233 0415 and open it in your online editor.
2. In the first section labeled 'THIS SECTION TO BE COMPLETED BY MEMBER', check the appropriate box for the pension system you belong to: Public Employee’s Retirement System (PERS), Teachers Pension and Annuity Fund (TPAF), or Police and Firemen’s Retirement System (PFRS). Fill in your name, including your first name, middle initial, maiden and/or former names if applicable, address, date of birth, social security number, and membership number.
3. Move to the second section titled 'THIS SECTION TO BE COMPLETED BY EMPLOYER'. Enter the employer's name in the designated field. Provide the official payroll title, date of hire, and date of permanent appointment here.
4. Fill in the 'Employment Dates' section, certifying each year separately. For Boards of Education, use school years as a reference. Include your monthly or annual base salary and particulars regarding substitute service, hours worked, and employment status (full-time or part-time) for each employment period.
5. If applicable, complete the Board of Education certifying officers section, indicating the number of months in each regular school year. Provide dates and reasons for any leaves of absence, and mark whether medical documentation is on file.
6. Answer the questions related to Social Security coverage and pension fund membership. Provide the name and address of the fund's central office if necessary.
7. Indicate whether the employer is a public or private entity. Ensure to review all entered information for accuracy.
8. Finally, the employer's certifying signature is needed, along with the title, date, and contact number. Ensure all fields are completed to prevent delays in processing.
9. After reviewing the information, save any changes made to the form. You can download, print, or share the filled form as required.

Take the next step and complete your documents online for a streamlined process.