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

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Attached to
Fresh Baked Pizza
Solicitation number
26LC03P5
Issued by
Utah

About this file

This document is a URS Post-Retired Verification form for Independent Contractors (1099 Employees) involving the Jordan District and Utah Retirement Systems (URS). The form is designed to verify the employment status of retirees who are seeking to work as independent contractors, with specific requirements and restrictions for those receiving monthly benefits from URS. Retirees must contact URS's Retirement Benefits Department at 801-366-7770 before beginning work and complete a Post-Retirement Employment form (Form RTRT-27A).

The document outlines important compliance guidelines for URS retirees returning to work, emphasizing that reemployment includes both employee and contract work for participating URS employers. If a retiree fails to report reemployment on the required form in violation of Title 49, they will be liable to repay any overpayment resulting from the violation. The form must be submitted to the Accounting Department along with a W-9, and retirees are warned of potential consequences for non-compliance with reporting requirements under Utah code section 49-11-1207(2).

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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 .