New Hampshire Code of Administrative Rules
Ret - Board of Trustees of the N.H. Retirement System
Chapter Ret 500 - FILING OF FORMS
Part Ret 502 - FORMS AND FILING REQUIREMENTS
Section Ret 502.01 - Filing NHRS Form 1, Member Information Enrollment Form

Universal Citation: NH Admin Rules Ret 502.01

Current through Register No. 40, October 3, 2024

(a) Every new member of the system shall complete Section A of Form NHRS 1 by providing the following information:

(1) The member's Social Security number;

(2) The member's name;

(3) The member's mailing address;

(4) The member's date of birth; and

(5) The member's gender.

(b) Every employer of the system shall complete Section B of NHRS Form 1 by providing the following information:

(1) The member's billing account number;

(2) Date of the member's first eligibility for membership;

(3) The membership classification;

(4) The member's position title;

(5) The member's annual salary;

(6) The number of weeks the member worked each year;

(7) The number of hours the member worked each week;

(8) The employer's name; and

(9) The employer's address.

(c) If membership is optional as in the case of elected, appointed or unclassified officials, every employer shall attach the following documents to NHRS Form 1:

(1) A copy of the member's Social Security card or IRS Form W-9;

(2) A certified copy of the member's birth certificate; and

(3) A Designation of Death Beneficiary form.

(d) Every employer shall certify that the member works for the employer and that deductions will be made from the member's compensation by listing the official's name, title, signature and date of completion.

(e) The member shall sign and date this form.

(f) The employer shall retain the yellow copy of NHRS Form 1, return the pink copy of NHRS Form 1 to the member and return the white copy of NHRS Form 1 to the system.

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

New. #9563, eff 10-14-09

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