OPERS Independent Contractor Form_fillable PDF Form.pdf

This is an Ohio Public Employees Retirement System (OPERS) Independent Contractor/Worker Acknowledgment form used by the State of Ohio to document individuals providing personal services to public employers who are not classified as public employees and will not have contributions made to OPERS. The form must be completed no later than 30 days after an individual begins providing services to a public employer on or after January 7, 2013. The form captures essential information including the contractor's personal details (name, social security number, date of birth), current employer information, the public employer for which services are being provided, employer contact details, description of services provided, and the start and end dates of service.

This acknowledgment form serves as documentation that the individual understands their classification as an independent contractor rather than a public employee and acknowledges that they will not receive OPERS retirement system contributions. The form also collects information to identify whether the contractor is already a recipient of benefits from OPERS or another retirement system. Completion of this form is mandatory administrative requirement for any independent contractor arrangement with Ohio public employers and ensures proper classification and compliance with OPERS regulations.