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Get TN TR-0228 2017

The actual pay can be lower than the limit. PART II RETIREE INFORMATION To be completed by the retiree Social Security Number Area Code - Telephone Number Name Last Street Address TR-0228 Rev. 6/2005 First Maiden Middle City and State Zip Code Continued on back RDA-413 CERTIFICATION BY RETIREE I hereby certify that I have read this form and understand my rights and limitations upon accepting temporary employment. Reset Form TENNESSEE CONSOLIDATED RETIREMENT SYSTEM 502 Deaderick Street Nashville TN 37243-0201 TEMPORARY EMPLOYMENT REPORT INSTRUCTIONS The retiree and proposed employer must complete and sign this form and return it to TCRS at the above address before the employment begins. It is the retiree s and the employer s responsibility to notify TCRS should employment exceed the allotted time period. Please read the following carefully check the appropriate box in PART I complete PART II and PART III and if applicable complete the certification in PART IV or PART V. PART I CONDITIONS OF TEMPORARY EMPLOYMENT To be checked by employer T. C. A. Section 8-36-805 permits a retired TCRS member to accept temporary employment with an employer participating in TCRS without suspension of retirement benefits provided the retired member has been retired 60 days and does not accrue additional retirement credit as a result of such employment. a* The 60-day period may be waived provided the member renders no more than one-half of the hours he or she was normally scheduled to work prior to retirement for a like period and the head of the employing entity certifies in writing PART IV to the division of retirement that no other qualified persons are available to fill the position* Once retired for more than 60 days the remaining time may be allocated at full-time or used over the one year period. b. Compensation cannot exceed 60 of the retiree s final year s salary plus 5 compounded annually since retirement. c* Disability retirees are subject to a disability earnings limitation in addition to these limits on the number of days worked and salary. Please contact the TCRS disability section for details. Please check one of the following 1. The retired employee accepts employment as a teacher by an institution of higher learning for up to 24 quarter credit hours or 18 semester credit hours during a 12-month period and the total salary payable to such retired member during the period does not exceed the prorata share of average salary being paid at the institution in the specific academic discipline concerned* a 12-month period and the total salary payable to such retired employee during the period does not exceed the prorata share of average salary being paid at the institution in the specific academic discipline concerned* agrees to continue such substitute teaching for an additional 90 days during the 12-month period. The compensation payable to the retired employee for such additional days does not exceed the rate set by the school system for substitute teachers filling similar vacant positions. .

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