Get Nd Ndpers Form 60983

This guide provides detailed instructions for completing the ND NDPERS Form 60983 online. The form is essential for verifying the eligibility of a grandchild for coverage under the North Dakota Public Employees Retirement System.

Follow the steps to fill out the form online accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your member information in Part A. Fill in your employee name, NDPERS member ID, the last four digits of your social security number, and your date of birth.
3. Next, provide information about the adult dependent, who is the parent of the grandchild. Fill in their name and date of birth.
4. Then, enter the name and date of birth of the grandchild for whom you are verifying eligibility.
5. Proceed to Part B to verify eligibility. For each criterion that applies, check the appropriate boxes. If the adult dependent is a full-time student, enter the name and address of their college or school.
6. Read the certification statement and ensure you understand the implications of signing the form. By signing, you agree to provide all necessary supporting documentation and notify NDPERS of any changes in dependency status.
7. Finally, sign the form and enter the date of your signature. Review all entries for accuracy before finalizing.
8. After completing the form, save your changes, download or print the form, and share it as needed.

Complete your ND NDPERS Form 60983 online today to ensure proper coverage for your grandchild.