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

PDF 134 KB Posted

Attached to
IFB - Make-Up-Air Replacement Bluffdale Elementary School State and local contract opportunity
Solicitation number
26DB02
Issued by
Salt Lake County, Utah

About this file

This is a URS Post-Retired Verification Form for Independent Contractors (1099 Employees) used by Jordan School District in Utah to verify employment status of contractors who may be Utah Retirement Systems (URS) retirees. The form requires contractors to disclose whether they have retired from URS and, if applicable, to provide their signature and date confirming this status. The form must be submitted to the Accounting Department along with a W-9.

URS retirees who return to work for a participating URS employer face restrictions on re-employment, which includes work performed as an employee or as an independent contractor if the retiree is listed as the contractor, owner, partner, or principal. Contractors must contact URS's Retirement Benefits Department at 801-366-7770 before beginning work with Jordan District to complete and file Form RTRT-27A (Post-Retirement Employment form). Failure to properly report re-employment to URS in violation of Title 49, Utah Code Section 49-11-1207(2), may result in the retiree being liable to repay URS any overpayment amounts resulting from the violation. This verification is required to ensure compliance with Utah retirement system regulations and to protect both the retiree and the school district from potential financial and legal consequences.

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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 .