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

This document is a URS (Utah Retirement Systems) Post-Retired Verification form for Independent Contractors (1099 Employees) associated with Jordan District. The form is designed to ensure that retirees receiving monthly benefits from URS understand and comply with reemployment restrictions when returning to work. Specifically, the form requires individuals to disclose their retirement status and directs those who have retired from URS to contact the Retirement Benefits Department at 801-366-7770 before beginning work, and to complete a Post-Retirement Employment form (Form RTRT-27A).

The document outlines important compliance requirements for URS retirees, emphasizing that reemployment includes work 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 a retiree fails to report reemployment on the required form, they may be liable to repay URS for any overpayment resulting from the violation, as specified in Utah code section 49-11-1207(2). The form must be submitted along with a W-9 to the Accounting Department, and retirees are cautioned about potential financial consequences of non-disclosure.