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Retirement Membership Plan Disclosure Form
Form required for individuals involved in professional services contracts, in accordance with BA-3311.1C, "Contracts for Professional, Personal, Consulting, and Social Services"
Handle: Document-3618
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Tuesday, March 24, 2009 09:55:43 PM CDT
Tuesday, March 24, 2009 09:55:43 PM CDT
Modified By:
Locked By:
  • 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...
Adobe Portable Document Format (.pdf) - application/pdf
3311-Retirement Membership Plan Disclosure 3-09.pdf
Appears In: ALL FORMS - Alphabetically Listed by Form Title DELGADO FORMS
Preferred Version: Retirement Membership Plan Disclosure Form