2-Attachment F - URS Post-Retired Verification Form.pdf
PDF 134 KB Posted
- Attached to
- IFB - Identity Management Tool- Tools4Ever
- Solicitation number
- 27TH03
- Issued by
- Utah
About this file
This is a URS Post-Retired Verification Form for independent contractors and 1099 employees required by Jordan School District in Utah. The form is used to determine whether any individual serving as a contractor, owner, partner, or principal of a contracting business has retired from the Utah Retirement Systems (URS). Contractors must disclose their retirement status, provide their birthdate if applicable, identify the type of business being provided, and submit the completed form along with a W-9 to the Accounting Department. The form applies to all work or services performed as an employee paid through payroll or as a contract worker paid through Accounting for any participating URS employer.
URS retirees receiving monthly benefits face significant restrictions when returning to work and are required to report any reemployment to URS on Form RTRT-27A in compliance with Utah Code Section 49-11-1207(2). Failure to report reemployment constitutes a violation that may result in the retiree being held liable to repay URS any overpayments received. Before beginning work with Jordan School District, any retiree must contact URS's Retirement Benefits Department at 801-366-7770 and complete the Post-Retirement Employment form as directed.
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Text version
Name
Business Name
Have you (or the contractor, owner, partner, or principal) retired from
Utah Retirement Systems (URS)?
No *Yes
*If you answered yes:
*Provide your birthdate _________________ (required)
*Type of business you provide _______________________________ (required)
Signature Date
Please submit this form along with the W-9 to the Accounting Department.
Retirees receiving a monthly benefit from URS have restrictions when returning to work. Re-employment includes work or service performed as an employee (paid through Payroll) OR on a contract (as a business or independent contractor paid through Accounting) for a participating URS employer if the retiree is listed as the contractor, owner, partner, or principal of the contractor (business).
If it is discovered that a URS retiree failed to report reemployment to URS on its Post-
Retirement Employment form (Form RTRT-27A) in violation of Title 49, the retiree will be liable to repay URS the amount of any overpayment resulting from the violation to report. See Utah code section 49-11-1207(2).
*The retiree is directed to contact URS's Retirement Benefits Department at 801-
366-7770 before beginning work with Jordan District. You will be asked to complete and file a Post-Retirement Employment form (Form RTRT-27A).
URS Post-Retired Verification
Independent Contractors (1099 Employees)
File details come from the government source that posted it. Updated .