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Retirement Status Form - DRS

Please fill out this form and return, completed, to Human Resources.

Handle: Document-103412
Owner: Russell, Jeffery (User-6456, 08813:EVERETT)DS
Wednesday, November 21, 2018 12:14:47 PM PST
Friday, August 16, 2024 08:31:33 AM PDT
Modified By: Russell, Jeffery (User-6456, 08813:EVERETT)DS
Locked By:
  • Employer Signature
I have verified the information above using MRV or by contacting a DRS representative.
  • If yes, which one(s)?
c Yes, _______________________________________________________________________________________ c No If the employee checked yes,stop.
  • Contact ESS before
enrolling the employee in aDRS retirement plan.
  • • Use Member Reporting Verification (MRV) to review the employee’s retirement status.
  • • Sign and date this form.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
retirementstatusform.pdf
No
4
1133945
No
Appears In: New Employee HR Forms
Preferred Version: Retirement Status Form - DRS