3-Attachment F - URS Post-Retired Verification Form.pdf

PDF 134 KB Posted

Attached to
IFB - Diesel Training Modules (Cummins)
Solicitation number
26DB07
Issued by
Utah

About this file

This document is a URS Post-Retired Verification form for Independent Contractors (1099 Employees) used by Jordan District. The form is designed to verify and manage the reemployment status of retirees receiving monthly benefits from Utah Retirement Systems (URS). Retirees are required to disclose their retirement status and understand specific restrictions when returning to work, whether as an employee or independent contractor for a participating URS employer.

The form mandates that retirees who have previously retired from URS must contact the URS Retirement Benefits Department at 801-366-7770 before beginning work with Jordan District. They are required to complete and file a Post-Retirement Employment form (Form RTRT-27A). Failure to report reemployment could result in the retiree being liable to repay URS for any overpayment, as stipulated under Utah code section 49-11-1207(2). The document instructs the retiree to submit this form along with a W-9 to the Accounting Department.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Name

Business Name

Have you retired from Utah Retirement Systems (URS)? No *Yes

*If you answered yes:

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).

You are 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 .