3-Attachment F - URS Post-Retired Verification Form.pdf
PDF 134 KB Posted
- Solicitation number
- 26KP19
- Issued by
- Salt Lake County, Utah
About this file
This is a URS Post-Retired Verification Form for Independent Contractors used by Jordan School District in Utah to verify whether contractors have retired from the Utah Retirement Systems (URS) and to ensure compliance with state re-employment restrictions. The form requires contractors to provide their name, business name, and sign a declaration confirming their retirement status from URS. The document applies to individuals who will be compensated as independent contractors (1099 employees) paid through the district's Accounting Department, including any contractors, owners, partners, or principals of contracting businesses working with the district.
Contractors who have retired from URS and are returning to work must comply with Utah Code Section 49-11-1207(2) and complete URS Form RTRT-27A (Post-Retirement Employment form) with URS's Retirement Benefits Department before beginning work with Jordan District. Failure to report re-employment to URS constitutes a violation that renders the retiree liable to repay URS any overpayment benefits resulting from non-disclosure. Contractors must contact URS's Retirement Benefits Department at 801-366-7770 prior to commencing work. This verification form must be submitted to the district's Accounting Department along with a W-9 form as a prerequisite to contract engagement.
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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 .