Fillable Employment Verification For A Retiree - September 2013

Fill Online, Printable, Fillable, Blank Employment Verification For A Retiree - September 2013 Form

Use Fill to complete blank online WEST GEORGIA COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Employment Verification For A Retiree - September 2013

On average this form takes 14 minutes to complete

The Employment Verification For A Retiree - September 2013 form is 2 pages long and contains:

  • 1 signature
  • 6 check-boxes
  • 51 other fields

Country of origin: US
File type: PDF

U.S.A. forms for West Georgia College

BROWSE WEST GEORGIA COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Two Northside 75 Suite 100 Atlanta, GA 30318 (404) 352-6500 (800) 352-0650 fax (404) 352-4885 www.trsga.com
Employment Verication for a Retiree
Returning to Work FT/PT/Temporary
TR-47 (0911)
__________________________________/____________________________/_____________________
Retiree Last Name
First Name Middle Name
______________________________________________________________/______________________
Home Address
City
_________________/_____________
(______)_________________ (______)________________
State Zip
Home Phone number Day Time Phone number
Retiree Social Security Number:
To Be Completed by ALL EMPLOYERS -- please print clearly
For PART-TIME Employment
For Board of Education FULL-TIME Employment
Continued on Reverse
This form must be completed annually by the employer for a retiree who continues to work full-
time/part-time or temporarily. As an employer if you hire a retired TRS member who is collecting a
retirement benet and should not be, you will be responsible for paying TRS the amount of benets
paid to the retiree during that period. Please complete the front and back of this form.
Anticipated Date of Employment _____________
Current Position/Title _____________________
Contract Days __________________________
Hourly Rate of Pay _______________________
Full-time Annual Salary ___________________
Part-time Annual Salary __________________
q Hourly q Salaried
Anticipated Date of Employment ____________________
Current Position/Title ____________________________
Full-time Monthly Salary __________________________
Part-time Monthly Salary _________________________
Current Position/Title __________________________________________________________________
Anticipated Date of Employment ___________________ Anticipated Monthly Salary __________________
School Retired From (principals only) _________________________________________________________________
Name/Address of Hiring School
(principals only) _____________________________________________
_____________________________________________________________________________________
Teachers
Retirement
System of
Georgia
Print Form
Employment Verication for a Retiree
Returning to Work FT/PT/Temporary cont.
TR-47 (0911)
Two Northside 75 Suite 100 Atlanta, GA 30318 (404) 352-6500 (800) 352-0650 fax (404) 352-4885 www.trsga.com
For DOE, TCSGA and BOR
To Be Completed For TEMPORARY Employment
I certify that the employment of this TRS retiree is in compliance with the requirements of O.C.G.A. 47-3-127.
_____________________________________________________ ______________________________
Please print name clearly
Title
_____________________________________________________ ______________________________
Signature Date
_____________________________________________________
Employer
____________________________________________
Telephone Number
To Be Completed by HR Director or Superintendent only
Teachers
Retirement
System of
Georgia
Current Position/Title _______________________________
Monthly Salary ___________________________________
Select Retirement System:
q Teachers Retirement System
q Employees’ Retirement System
q Public School Employees’
Retirement System
q Optional Retirement Plan
If retiree is employed on a part-time basis, please complete
the Part-Time Employment section on the rst page.
For Classroom Aide/Para-Professional Employment
Full-Time Hours for Position ______________________________________________________________
Anticipated Hours for Position _________________________________________________________
Hourly Rate of Pay ___________________________________________________________________
For Substitute Classroom Teaching Positions
Rate of Pay _________________________________________________________________________
For TEMPORARY Employment
Employment Date Range ______________________________ (can only work 3 months full-time in a scal year)
Anticipated Monthly Salary ___________________ Regular Monthly Salary for Position __________________
Current Position/Title ___________________________________________________________________
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Employment Verification For A Retiree - September 2013

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document