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EMPLOYER FORMS
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Employer related forms…

 
 
Form no.Form Description
 
Form 11S
 
11S-Monthly Remittance of Fees for the Registers of Deeds' Supplemental Pension Fund
 
Form 253
 
253-Reporting an Employee's Work Record In the Event of Death
 
Form 276
 
276-Designating Beneficiary(ies) for the Separate Insurance Benefit Plan for Law Enforcement
 
Form 316
 
316-Pink Sheet Refund
 
Form 641
 
641-Public School Unit Certification
 
Form 6C
 
6C-Reporting an Employee's Work Record for Retirement
 
Form 6DSR
 
6DSR-Discontinued Service Retirement
 
Form 6ROD
 
6ROD-Certification of Service as Register of Deeds
 
Form 706
 
706-Confirming an Employee's Resignation
 
Form 707
 
707-Reporting Earnings Monthly While Receiving Extended Short-Term or Long-Term Benefits
 
Form 710
 
710-Employer's Worksheet for Determining the Waiting Period Before the Short Term Begins
 
Form 711
 
711-Determining the Maximum Monthly Benefit During the Short Term
 
Form 712
 
712-(Optional) Determining the Affect of Other Benefits on the Short-Term Benefit
 
Form 713
 
713-(Optional) Determining the Short-Term Benefit for Partial and Special Months
 
Form 714
 
714-Employer's Payment Record, Reimbursement Calculation, and Service Credit Report
 
Form 717
 
717-Employer Bank Change Request Form
 
Form 7E
 
7E-Choosing Your Disability Retirement Payment Option
 
Form CONCHG
 
CONCHG-Employer Contact Update Request
 
Form ERRWK
 
ERRWK-Correcting an Employee's Payroll Record
 
Form ESRR
 
ESRR-Re-Employment Worksheet for Retirees Returning to Work