) DATE OF BIRTH MAILING ADDRESS REPORTING UNIT LAST WORKED CITY, STATE, ZIP CODE EMPLOYMENT END DATE MEMBER ID OR SSN HOME TELEPHONE ( ) Use this form if you have terminated employment and want to withdraw your pension contributions on account with the retirement system. This may forfeit your rights to a future pension with the retirement system. See refund instructions before completing. If you are eligible for a pension and married, you and your spouse must complete the Refund Certifi.
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How to fill out the MI R0311C online
The MI R0311C form serves as a refund application for public school employees wanting to withdraw their pension contributions. This guide will provide step-by-step instructions on completing the form online, ensuring a smooth submission process.
Follow the steps to successfully complete the MI R0311C online.
- Click ‘Get Form’ button to access the MI R0311C form and open it in your online editor.
- Fill in the member's name, date of birth, and mailing address accurately. Ensure you include the complete city, state, and ZIP code.
- Input the reporting unit last worked, along with the employment end date. Provide your member ID or Social Security Number.
- Enter your home telephone number in the provided format.
- Section I requires you to select your refund option. Choose between receiving your refund directly, transferring untaxed contributions, or a combination of both.
- In Section II, indicate if you want Michigan income tax withheld from your refund by checking the provided box.
- If you selected options 2 or 3 in Section I, complete Section III by entering the type of account and details about your financial institution, including the account number and address.
- If applicable, Section IV must be completed by your last employer's payroll office. Ensure they provide the required certification details.
- Finally, complete Section V by signing the applicant certification. Do not forget to appear before a notary public before signing.
- Once all sections are filled out, review the form for completeness. You can now save changes, download, print, or share the form.
Complete your MI R0311C application online today to ensure timely processing of your refund.
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