Transcription of FRS Employment Certification Form
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FRS Employment Certification Form
CERT Revised 05/2018 EMPLOYERS: RETAIN THIS form IN THE EMPLOYEE S PERSONNEL FILE. DO NOT SEND THIS form TO THE FRS, UNLESS REQUESTED. This form is not an offer of Employment or an enrollment form . If hired, a Retirement Choice kit may be mailed to your home with enrollment instructions. Florida Retirement System (FRS) - Certification form Name SSN (last 4 digits) Agency Name Previous or Current FRS Employer Complete Section I if you have never been a member of a State of Florida administered retirement plan.
CERT Rev 06/2021 19-11.009 F.A.C. Page 1 of 2 FRS Employment Certification Form This form is not an offer of employment and completion of this form does not constitute enrollment in a retirement program under the
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