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The forms listed below are to be used by employers to report information to ERSRI for terminating or retiring members.
Use this Employer Certification of Retirement upon retirement of an employee.
Use this Employer Certification Termination form upon termination of an employee.
Use this form to help ERSRI determine service credits based on a member’s salary.
Use this form to help ERSRI determine service credits based on the number of days worked by a teacher.
Use this form to provide ERSRI detail of retroactive salary paid to an employee.
Retirees working under Post-Retirement provisions may use this worksheet to report or track the days worked each month for their ERSRI-participating employer. THIS WORKSHEET SHOULD NOT BE SUBMITTED TO ERSRI. The retiree working Post-Retirement Employment should submit this worksheet directly to their employer, if directed.
Employer Guidance for Completing Forms
These employer presentations provide direction on completing the forms ERSRI requires for a member at the time of retirement. Covers the Employer Certification of Retirement and Final Wages, Salary Verification for Service Credit, Verification of Retroactive Salary, and Teacher Day Count forms. Click on the applicable link below to view the presentations:
A guide to retirement forms for municipal employers.
