Get Certifying Employee Status Under Retirement Reemployment Laws Form

Filling out the Certifying Employee Status Under Retirement Reemployment Laws Form online is a crucial step for retirees returning to work. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the Certifying Employee Status Under Retirement Reemployment Laws Form. This will allow you to open the document for editing.
2. In Section A, provide your personal information. Print or type in black ink and include your first name, last name, suffix (if applicable), mailing address, member ID (if known), city, state, and zip code. Additionally, indicate your position title.
3. In Section B, enter your date of birth and telephone number. Keep in mind that retirees may face earnings restrictions, so be informed about the return-to-work laws that apply to your retirement system.
4. In Section C, provide the last four digits of your Social Security Number. Indicate whether you are currently receiving a monthly benefit from the applicable retirement systems. Check all relevant boxes for the systems from which you may be receiving benefits, or select 'No' if you are not receiving any.
5. In Section D, review the certification statement carefully. Sign and date the form to confirm that the information you've provided in Sections A and C is accurate to the best of your knowledge.
6. In Section E, remember that this form should be submitted to your employer, not to the Retirement Systems Division. Ensure that your employer retains the completed form.
7. After completing the form, you can save your changes. Options to download, print, or share the form may be available, depending on your needs.

Complete the Certifying Employee Status Under Retirement Reemployment Laws Form online today to ensure compliance with your retirement reemployment regulations.