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

PDF 134 KB Posted

Attached to
IFB - Intercom Additions
Solicitation number
26DB23
Issued by
Salt Lake County, Utah

About this file

This is a URS Post-Retired Verification Form for independent contractors (1099 employees) associated with Jordan School District in Utah. The form requires contractors to disclose whether they have retired from the Utah Retirement Systems (URS) and, if applicable, provide their signature and date of submission. The form must be submitted to the Accounting Department along with a W-9 form. The document outlines restrictions on reemployment for URS retirees receiving monthly benefits, defining reemployment as work performed either as a payroll employee or as an independent contractor for a participating URS employer if the retiree is listed as the contractor, owner, partner, or principal.

Contractors who are URS retirees are required to contact URS's Retirement Benefits Department at 801-366-7770 before commencing work with Jordan School District to complete and file Form RTRT-27A, the Post-Retirement Employment form. Failure to report reemployment in violation of Title 49 of the Utah Code exposes retirees to liability for repaying URS any overpayment benefits received as a result of noncompliance with Utah Code Section 49-11-1207(2). This verification requirement applies to all independent contractor arrangements with the district.

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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 .