3-Attachment F - URS Post-Retired Verification Form.pdf
PDF 134 KB Posted
- Solicitation number
- 27BV03P5
- Issued by
- Salt Lake County, Utah
About this file
This is a URS Post-Retired Verification Form for Independent Contractors (1099 Employees) administered by Jordan School District in Utah. The form requires contractors to disclose whether they have retired from the Utah Retirement Systems (URS) and, if so, to provide their signature and date of completion. The form must be submitted to the Accounting Department along with a W-9. This verification requirement applies to any contractor who will be engaged by Jordan School District to provide train-the-trainer services for the Science of Reading Professional Development Program.
Contractors who are URS retirees receiving monthly benefits face restrictions on re-employment, which includes work performed as either a paid employee or independent contractor for a participating URS employer. Contractors must contact URS's Retirement Benefits Department at 801-366-7770 before beginning work with Jordan School District to complete Form RTRT-27A (Post-Retirement Employment form). Failure to report re-employment to URS in compliance with Utah Code section 49-11-1207(2) will result in the retiree's liability to repay URS any overpayments resulting from the violation.
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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 .