Retirement Plan Certification
The University of Texas at El Paso
RETIREMENT PLAN CERTIFICATION
Name: Last 4 digits of SSN:
Last First MI
Position:
► It is important that we ascertain a history, as well as current status, of your retirement plan participation. Please answer the following questions to the best of your knowledge, then sign and date at the bottom of this form.
1. When and where were you first employed in public/higher education in Texas?
Year District/College Location
2. Do you or have you ever participated in the Optional Retirement Program of Texas?
Yes
No
3. Have you every participated in the Teacher Retirement System of Texas?
Yes
No
4. Are you currently contributing to Teacher Retirement System of Texas through other employment, i.e., El Paso Community College, local school district, etc.?
Yes With whom?:
No
► If the answer to any of the above questions is “Yes”, please complete the following:
Yes No Have you ever worked for any agency of the State of Texas other than in public education?
Yes No Have you withdrawn a Texas Retirement System of Texas account?
|School District, College, or Agency |Location |Year |Under What Name |If Withdrawn, please |
| | | | |give date. |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
5. Are you a State of Texas service retiree? Yes Retirement Date:
No
6. Are you enrolled in another statewide insurance plan? Yes
No
I certify that the statements made by me in this certification are true, complete and correct to the best of my knowledge.
Employee Signature Date
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- lincoln financial retirement plan services
- retirement plan withdrawal rules
- bny mellon retirement plan website
- top retirement plan companies
- vanguard retirement plan participant website
- vanguard retirement plan log in
- retirement plan companies
- bfi retirement plan republic services
- 2019 retirement plan limits
- vanguard retirement plan access
- 403b retirement plan calculator
- early retirement plan withdrawals