Form required for individuals involved in professional services contracts, in accordance with BA-3311.1C, "Contracts for Professional, Personal, Consulting, and Social Services"
RETIREMENT PLAN MEMBERSHIP DISCLOSURE(Addendum to Delgado Contract for Professional, Personal or Consulting Services) The following information is required to ensure compliance with earnable compensation reporting requirements of the Teachers’ Retirement System of Louisiana (TRSL).
Section 1 Demographic InformationName __________________________________ Social Security #________________ Last, first, MI Address_______________________________________________________________ Street/ P. O. Box_________________________________________________________City, State, Zip__________________________________________________________ Section 2 Retirement Membership Disclosure Information Please indicate whether you are currently a contributing/ active...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
3311-Retirement Membership Plan Disclosure 3-09.pdf
DELGADO FORMS 
