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This form is used by PERA retirees who wish to be re-employed for the 2010 General Election after signing an Oath of Office prior to July 1, 2010. It outlines the requirements and certifies the retiree's

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How to fill out application for a re-employed

How to fill out APPLICATION FOR A RE-EMPLOYED PERA RETIREE

01

Obtain the APPLICATION FOR A RE-EMPLOYED PERA RETIREE form from the appropriate PERA office or website.

02

Fill out personal information sections such as your name, address, and contact details.

03

Provide your PERA identification number or Social Security number.

04

Indicate the position you are applying for and the employer with whom you will be re-employed.

05

Include the date you plan to start the re-employment.

06

Review the application for completeness and accuracy.

07

Sign and date the application at the designated section.

08

Submit the completed application to the appropriate PERA office either in person or via mail.

Who needs APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

01

Individuals who are PERA retirees and wish to return to work while retaining their benefits.

02

Retirees seeking re-employment opportunities after retirement under the PERA guidelines.

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What is APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

The APPLICATION FOR A RE-EMPLOYED PERA RETIREE is a form that needs to be submitted by retirees of the Public Employees Retirement Association (PERA) who return to work in a position that is covered by PERA. This application is necessary to assess the retiree's eligibility to continue receiving retirement benefits while being re-employed.

Who is required to file APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

Any retiree who has previously retired from a PERA-covered position and wishes to return to work in a PERA-relevant role is required to file the APPLICATION FOR A RE-EMPLOYED PERA RETIREE.

How to fill out APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

To fill out the APPLICATION FOR A RE-EMPLOYED PERA RETIREE, one must provide personal information such as name, contact details, date of retirement, and details of the new employment. The form must be completed accurately and submitted to the appropriate PERA office.

What is the purpose of APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

The purpose of the APPLICATION FOR A RE-EMPLOYED PERA RETIREE is to inform PERA about the retiree's return to employment, ensuring that the retirement benefits are correctly managed and that any applicable rules or regulations regarding re-employment and pension benefits are adhered to.

What information must be reported on APPLICATION FOR A RE-EMPLOYED PERA RETIREE?

The APPLICATION FOR A RE-EMPLOYED PERA RETIREE must report information including the retiree's full name, address, retirement date, details about the new employer, position, and job responsibilities, as well as any other relevant information required by PERA.

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