Fillable Employment Verification For A Retiree 9 2013

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Employment Verification For A Retiree 9 2013

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The Employment Verification For A Retiree 9 2013 form is 2 pages long and contains:

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File type: PDF

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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 ___________________________________________________________________
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Employment Verification For A Retiree 9 2013

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Completed 7 March 2020

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