Get Ee-0904-0814 State Of New Jersey Division Of Pensions

Filling out the EE-0904-0814 form is crucial for employers hiring individuals collecting retirement benefits from New Jersey state-administered retirement systems. This guide provides clear steps to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the EE-0904-0814 form and open it in your preferred editing tool.
2. In the employee information section, enter the full name of the employee. Use their last name, first name, and middle initial, avoiding nicknames.
3. Provide the employee's current mailing address. Ensure it includes the street, city, state, and zip code.
4. Enter the retirement number or former membership number in the designated space.
5. Indicate the type of retirement by checking either 'Disability' or 'Other' as applicable to the employee.
6. Select the employee's gender by marking either 'Male' or 'Female'.
7. Fill in the employee's date of birth in the specified format: month, day, and year.
8. Provide the employee’s daytime phone number, including the area code.
9. Indicate the date of the employee's retirement along with their employer's name at the time of retirement.
10. In the employment after retirement section, enter the full name of the new employer.
11. Specify the county in which the employer is located and provide any necessary location, bureau, and payroll numbers.
12. Document the title or position currently held by the employee, and mention if they are serving as an employee or independent contractor.
13. Indicate the employee’s earnings, specifying whether they are an annual salary or hourly wage, along with the amount.
14. Describe the type of service provided, indicating if the employment is full-time or part-time, and include part-time hours if applicable.
15. Enter the date employment commenced and, if known, the date employment is expected to end.
16. In the employer certification section, confirm if the employee completed a 180-day bona fide severance of employment, marking 'Yes' or 'No'.
17. Indicate whether there was any agreement regarding employment after retirement at the time of retirement.
18. Sign and date the form as the certifying officer, ensuring both you and your supervisor sign and date to validate the document.
19. Provide the phone number, including the area code, for the certifying officer.
20. After completing all sections, save your changes and prepare to download, print, or share the form as needed.

Complete the EE-0904-0814 form online to ensure timely and accurate processing of retirement employment notifications.