VERIFICATION OF TERMINATIONFROM ALL ACTIVE PUBLIC EMPLOYMENTInstructions: PLEASE PRINT using blue or black ink. Members must submit this form when applying for a monthly benefit. Both member and employer.
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How to fill out the MN PERA Verification Of Termination online
The MN PERA Verification Of Termination form is essential for members applying for monthly benefits after concluding their public employment. This guide will walk you through the process of filling out the form accurately and efficiently.
Follow the steps to complete the MN PERA Verification Of Termination.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by completing Part A of the form. Enter your name, the last four digits of your social security number, and your PERA ID number.
- Have your current public employer fill out Parts B and C. Ensure they verify the information provided in Part A.
- In Part B, your employer must confirm your termination date and indicate if there is any verbal or written agreement for rehire prior to termination by selecting 'Yes' or 'No'.
- Your employer will also need to identify if you are a public safety officer or an elected official. If you are an elected official, they must document your position title and whether you have filed to run for a subsequent term.
- Part C requires your employer's representative to sign and provide their title, ensuring all necessary details are included.
- Finally, ensure that the completed form is sent to the Public Employees Retirement Association at the provided address, or submitted via fax.
- After completing the form, you can save changes, download, print, or share it as needed.
Start filling out your MN PERA Verification Of Termination form online today!
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