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

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E-Rate Network Switch Upgrade
Solicitation number
26TH04P5
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Utah

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This document is a URS (Utah Retirement Systems) Post-Retired Verification form for Independent Contractors (1099 Employees) specifically related to Jordan District. The form is designed to verify and regulate the reemployment status of retirees receiving monthly benefits from URS who are seeking to work again within a participating URS employer.

The document outlines specific restrictions for URS retirees returning to work, emphasizing that reemployment includes work performed as an employee (paid through Payroll) or as a contractor (paid through Accounting). If a retiree fails to report reemployment on the required Post-Retirement Employment form (Form RTRT-27A), they will be liable to repay URS any overpayment resulting from the violation. Retirees are specifically directed to contact URS's Retirement Benefits Department at 801-366-7770 before beginning work with Jordan District and will be required to complete and file the Post-Retirement Employment form.

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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 .