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

134 KB Posted

Attached to
RFP- Utility Management Software Solution
Solicitation number
26TH08P5
Issued by
Utah

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This is a URS Post-Retired Verification Form for independent contractors (1099 employees) submitted to Jordan School District in Utah. The form requires contractors, owners, partners, or principals to disclose whether they have retired from the Utah Retirement Systems (URS) and, if so, to provide their birthdate and type of business. Contractors who have received monthly benefits from URS are subject to restrictions on returning to work, including both employment through payroll and contract work with participating URS employers. The form must be submitted to the Accounting Department along with a completed W-9. Any URS retiree discovered in violation of post-retirement employment reporting requirements under Title 49 of the Utah Code faces liability to repay URS any resulting overpayments.

Retirees receiving URS benefits are required to contact URS's Retirement Benefits Department at 801-366-7770 before beginning work with Jordan District and must complete and file a Post-Retirement Employment form (Form RTRT-27A) in accordance with Utah Code Section 49-11-1207(2). This verification form is part of the procurement process for the District's Utility Management Software Solution RFP and ensures compliance with state retirement system regulations prior to contract award.

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Name

Business Name

Have you (or the contractor, owner, partner, or principal) retired from

Utah Retirement Systems (URS)?

No *Yes

*If you answered yes:

*Provide your birthdate _________________ (required)

*Type of business you provide _______________________________ (required)

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).

*The retiree is 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 .