N.H. Code Admin. R. Ret 502.13 - Filing of NHRS Forms 18 and 21, Employer's Notice and Certification of Termination

(a) Every employer of an employee, police or firefighter member shall complete NHRS Form 18 when a member retires by providing the following:
(1) The member's name, social security number and effective date of retirement;
(2) The types of accrued leave credits and their value computed as the number of days paid times the member's daily rate of compensation;
(3) The total amount of the member's termination pay;
(4) Payroll data for the final 4 cycles of the member's employment;
(5) An explanation for any delay on the payment of all final compensation to the member within 120 days of termination; and
(6) A certification that the information is complete and accurate.
(b) The certification in (a)(6) above shall contain the following:
(1) The employer's name, address and telephone number;
(2) The name and title of the certifying official,
(3) An authorized signature; and
(4) The date of completion.
(c) Every employer of a teacher member shall complete NHRS Form 21 when the teacher retires by providing the following:
(1) The member's name, social security number and effective date of retirement;
(2) The types of accrued leave credits and their value computed as the number of days paid times the member's daily rate of compensation;
(3) The total amount of the member's termination pay;
(4) Contract payroll information for the final 4 contract periods of the teacher member's employment including the number of payroll cycles within each contract period, the contract salary and any additional compensation;
(5) An explanation for any delay on the payment of all final compensation to the member within 120 days of termination; and
(6) A certification that the information is complete and accurate.
(d) The certification in (c)(6) above shall contain the following:
(1) The employer's name, address and telephone number;
(2) The name and title of the certifying official;
(3) An authorized signature; and
(4) The date of completion.

Notes

N.H. Code Admin. R. Ret 502.13

#7574, eff 10-10-01, EXPIRED: 10-10-09

New. #9563, eff 10-14-09

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