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OH OPERS DR-4 2018-2025 free printable template

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REPORT OF EMPLOYER FOR DISABILITY BENEFIT APPLICANT Ohio Public Employees Retirement System 277 East Town Street, Columbus, Ohio 4321546421800222PERS (7377) www.opers.org×DR4×STEP 1: Employees Personal
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How to fill out OH OPERS DR-4

01
Obtain the OH OPERS DR-4 form from the Ohio Public Employees Retirement System (OPERS) website or via your employer.
02
Read the instructions carefully to understand the requirements.
03
Fill in your personal information, including your name, address, and Social Security number in the designated sections.
04
Provide details about your employment history, including your job title, employer name, and employment dates.
05
Complete any additional sections relevant to your retirement benefits or service credit.
06
Review the form for accuracy and completeness.
07
Sign and date the form where indicated.
08
Submit the completed form to OPERS as instructed, either by mail or electronically.

Who needs OH OPERS DR-4?

01
Any member of the Ohio Public Employees Retirement System (OPERS) who is applying for retirement benefits, refund of contributions, or service credit should fill out the OH OPERS DR-4 form.
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OH OPERS DR-4 is a form used by employers in Ohio to report information related to the Ohio Public Employees Retirement System (OPERS) contributions and earnings.
Employers who have employees enrolled in the Ohio Public Employees Retirement System (OPERS) are required to file the OH OPERS DR-4 form.
To fill out the OH OPERS DR-4, employers need to provide detailed information about their employees' compensation, retirement contributions, and any other relevant data as specified on the form.
The purpose of OH OPERS DR-4 is to ensure that accurate information regarding employee retirement contributions and compensation is reported to OPERS for retirement benefit calculations.
The information that must be reported on OH OPERS DR-4 includes employee names, Social Security numbers, compensation amounts, retirement contribution amounts, and other pertinent details required by OPERS.
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