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  • Translated By Wordport From Wordperfect 5.x (dos/windows) Document Bf424.

Get Translated By Wordport From Wordperfect 5.x (dos/windows) Document Bf424.

Employer Salary Certification Retiree Name SSN Complete Parts I and II and return form to PERS office. PART I - RETIREE ACKNOWLEDGMENT (Retiree Completes) I understand that if salary and service credit are reported for any days after my retirement date, that my benefit amount and retirement effective date will be adjusted and that I may be required to repay any overpaid benefits.

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How to fill out the Translated By WordPort From WordPerfect 5.x (Dos/Windows) Document Bf424. online

Filling out the Translated By WordPort From WordPerfect 5.x (Dos/Windows) Document Bf424. is a straightforward process that requires careful attention to each section of the form. This guide will provide you with detailed, step-by-step instructions to ensure you complete the document accurately and efficiently.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to access the document online and open it in your preferred editing tool.
  2. Begin by filling in the retiree name field at the top of the form. Enter the full name of the retiree as it appears on official documents.
  3. Next, complete the Social Security Number (SSN) field with the retiree's SSN. Make sure to check for accuracy to avoid any processing issues.
  4. In Part I, the retiree must acknowledge understanding of the reporting policy. They should read the acknowledgment statement carefully and sign their name in the designated area, including the date of the signature.
  5. Moving to Part II, the public employer will fill out various fields regarding the retiree's employment details. Start by entering the last day of the retiree's employment.
  6. Indicate the contract period for the current school year by checking the appropriate box that corresponds to the start and end months.
  7. Specify whether there will be a contract payoff or not by marking the respective option. Additionally, fill in the retiree’s monthly contract amount for the current year.
  8. Report the last salary amount that will be submitted to PERS and the reporting month associated with that salary.
  9. The agency liaison officer or signature authority must then sign and date the form in the respective certification area.
  10. Lastly, in the PERS calculation section, relevant computations will be performed by PERS representatives. Ensure your form is complete before submission, and send it to the PERS office for processing.
  11. Finally, after all sections are completed, users can save their changes, download, print, or share the completed form as needed.

Complete your forms online today for a smooth and efficient submission process.

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Get Translated By WordPort From WordPerfect 5.x (Dos/Windows) Document Bf424.
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232