IL IMRF Form 5.42 2017-2025 free printable template

PHYSICIANS STATEMENTDISABILITY CLAIM Perform 5.42 (Rev. 10/2017) Please print use black inkier requires a separate Form 5.42 from each physician who is certifying your disability Do NOT submit this

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How to fill out IL IMRF Form 5.42

1. Obtain a copy of the IL IMRF Form 5.42 from the IMRF website or your employer.
2. Fill in your personal information, including your name, address, and employee ID number.
3. Provide details about your employment, such as your job title and the name of your employer.
4. Indicate the specific reason for filling out the form, such as a change in employment status or a retirement request.
5. Review the completed form for accuracy and ensure all required fields are filled out.
6. Sign and date the form.
7. Submit the completed form to your employer or the appropriate IMRF office.

Who needs IL IMRF Form 5.42?

1. Workers who are participating in the Illinois Municipal Retirement Fund (IMRF) and need to report changes in employment status.
2. Employees who are applying for retirement benefits through the IMRF.
3. Individuals who need to update their personal information with the IMRF.

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What is IL IMRF Form 5.42?

IL IMRF Form 5.42 is a form used by employers to report changes in the employment of their members in the Illinois Municipal Retirement Fund (IMRF), including changes in salary, employment status, or hours worked.

Who is required to file IL IMRF Form 5.42?

Employers that have employees who are members of the Illinois Municipal Retirement Fund (IMRF) are required to file IL IMRF Form 5.42 whenever there are relevant changes to an employee's status.

How to fill out IL IMRF Form 5.42?

To fill out IL IMRF Form 5.42, employers must provide accurate details about the employee, including their name, ID, the nature of the change (e.g., salary increase or change in employment status), and any other required information as specified in the form guidelines.

What is the purpose of IL IMRF Form 5.42?

The purpose of IL IMRF Form 5.42 is to ensure that the Illinois Municipal Retirement Fund has accurate and up-to-date information regarding its members, which is necessary for the proper administration of retirement benefits.

What information must be reported on IL IMRF Form 5.42?

The information reported on IL IMRF Form 5.42 includes the employee's name, member ID, details of the employment change, such as termination, salary adjustments, or changes in hours worked, and the reason for the change.