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HUMBOLDT STATE UNIVERSITYREHIRED ANNUITANT CERTIFICATIONDate: Name: Appointment Date: Department: I, certify that I have not received Unemployment Insurance (UI) benefits during the past 12 months
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How to fill out rehired annuitant certification
How to fill out rehired annuitant certification
01
To fill out the rehired annuitant certification, follow these steps:
02
Start by obtaining the rehired annuitant certification form.
03
Read and understand the instructions provided with the form.
04
Fill in your personal details such as your name, address, and contact information.
05
Indicate your former position or job title at the organization.
06
Provide information about your retirement date and the date of separation from your previous employment.
07
Specify the reason for requesting reemployment as an annuitant.
08
Attach relevant documents or evidence supporting your request if required.
09
Sign and date the certification form to acknowledge the accuracy and completeness of the information provided.
10
Submit the completed form to the appropriate authority or department for review and processing.
Who needs rehired annuitant certification?
01
The rehired annuitant certification is needed by individuals who were previously employed, retired, and now wish to be reemployed by the same organization as an annuitant.
02
This certification is required to verify their eligibility and ensure compliance with the rules and regulations governing the rehiring of retired individuals.
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