Employee Instructions. Employees must calculate their contribution percentage via the table at the end of this form and complete the remainder of this form accordingly. This figure must be validated by an authorized agency employee. Note: This election is irrevocable. This means that, once this form is received by the Retirement Services Division, this election cannot be revoked for any reason. The additional contributions will be deducted from your paycheck once your form has been processed and will not stop until you separate from state service or attain the new normal non-hazardous duty retirement age. You will also owe contributions retroactive to the first full pay period following 7/1/2013, or for purchased time, if less. If you maintain employment to the new normal non-hazardous duty retirement age, your additional contributions WITHOUT INTEREST will be returned to you upon reaching that age.
Employee Instructions. Complete the routing and account number below OR Provide a Voided Check to this form OR Attach a copy of a financial institution issued Direct Deport Form. Routing/Transit #: Account #: Account Type: Checking: Savings:
Employee Instructions. Employees must calculate their contribution via the online calculator at xxxx://xxx.xxx.xx.xxx/2013memos/retirement/index.html or via the table at the end of this form. This figure must be validated by an authorized agency employee. Note: This election is irrevocable with one exception. This means that, once this form is received by the Retirement Services Division, this election cannot be revoked for any reason, except that members who elect not to make contributions may reverse this decision if they transfer to a non-hazardous duty position prior to reaching 20 years of hazardous duty service. Such member will be given a new election period, and he or she then elects to make contributions, they will be owed retroactive to July 1, 2013. Interest on those contributions will also be charged if the transfer to a non-hazardous duty was voluntary. The additional contributions will be deducted from your paycheck once your form has been processed along with retroactive contributions back to the first full pay period following 7/1/2013 and will not stop until you separate from state service or attain your new normal non-hazardous duty retirement age, or attain 20 years of hazardous duty service whichever is sooner. If you maintain employment to the new normal non-hazardous duty retirement age or attain 20 years of hazardous duty service (whichever is earlier), your additional contributions WITHOUT INTEREST will be returned to you upon reaching that age. Also, if you retire under the hazardous duty provisions, all of your grandfathered contributions will then be returned WITHOUT INTEREST.
Employee Instructions. After you start working, please carefully read the Company’s Employee Handbook and strictly follow it. Any losses caused by the employee’s failure to comply with the Company’s policies and procedures in a timely manner due to personal reasons shall be borne by the employee himself/herself.
Employee Instructions. Reseller shall issue appropriate instructions to its employees having access to MVRs concerning restrictions contained herein and shall institute appropriate security measures, at least equivalent to those normally used by Reseller in the same or similar circumstances with respect to its own information (provided such measures provide at least a reasonable degree of care), to prevent the accidental or otherwise unauthorized use or disclosure of MVRs. 9 AGREED UPON AND EXECUTED as of the dates indicated below by the duly authorized representatives of the parties hereto.For: For: ChoicePoint Services Inc. Avert, Inc. Signed: Signed: ________________________________________ ___________________________________________ Name: Name: Xxxx Xxxxxx ________________________________________ ___________________________________________ Title: Title: President, CEO ________________________________________ ___________________________________________ Date: Date: May 25, 2000 ________________________________________ ___________________________________________ 10 EXHIBIT A AUTOMATED CLEARING HOUSE FORM 11 EXHIBIT B CONTRACTUAL RESTRICTIONS 1. Authorized Recipient certifies that it shall order, receive and use MVRs in compliance with all applicable federal and state statutes and regulations including, but not limited to, the FCRA and its state analogues, the DPPA and its state analogues, and statutes and regulations governing fair information practices.
Employee Instructions. Employees must calculate their additional contribution via the table on this form. This figure must be validated by an authorized agency employee. Note: This election is irrevocable. This means that, once this form is received by the Retirement Services Division, this election cannot be revoked for any reason. The additional contributions will be deducted from your paycheck beginning with the first full pay period following 7/1/2013 and will not stop until you separate from state service or attain your new normal retirement age, whichever is sooner. If you terminate with a minimum of 10 years of service at any time after choosing this election and begin the additional contributions, you will not receive the additional contributions back but WILL maintain the grandfathered retirement age. If you maintain employment to the new retirement age, your additional contributions WITHOUT INTEREST will be returned to you upon reaching that age. Please calculate your additional contribution according to the table below and enter the percentage in Section III of this form. Should you need assistance, please contact your Human Resources department. Choose which question pertains to you and then find the appropriate date in the chart. To estimate your bi-weekly deduction, multiply your bi-weekly salary times the additional contribution percentage. If you will have 25 years of service prior to turning age 62 What is the first of the month following attainment of age 60 and 25 years of service? OR If you will not have 25 years of service prior to turning age 62 What is the first of the month following your 62nd birthday? Eligibility Date Additional Contribution Eligibility Date Additional Contribution Eligibility Date Additional Contribution Eligibility Date Additional Contribution Jul-2022 0.02% Apr-2023 0.20% Jan-2024 0.38% Oct-2024 0.56% Aug-2022 0.04% May-2023 0.22% Feb-2024 0.40% Nov-2024 0.58% Sep-2022 0.06% Jun-2023 0.24% Mar-2024 0.42% Dec-2024 0.60% Oct-2022 0.08% Jul-2023 0.26% Apr-2024 0.44% Jan-2025 0.62% Nov-2022 0.10% Aug-2023 0.28% May-2024 0.46% Feb-2025 0.64% Dec-2022 0.12% Sep-2023 0.30% Jun-2024 0.48% Mar-2025 0.66% Jan-2023 0.14% Oct-2023 0.32% Jul-2024 0.50% Apr-2025 0.68% Feb-2023 0.16% Nov-2023 0.34% Aug-2024 0.52% May-2025 0.70% Mar-2023 0.18% Dec-2023 0.36% Sep-2024 0.54% June 2025+ 0.72% If you wish to waive your right to make this irrevocable election to retain the grandfathered Normal Retirement Date, complete Sections I, II, and IV of this form...
Employee Instructions. Give this form to your supervisor and ask them to suggest which materials you should review. Once you have a customized Roadmap Training Plan, go through the materials at your own pace and keep track of when you’ve reviewed them. TB Knowledge Training materials Suggested Completion Date Date Completed TB 101 for Health Care Workers Web-based course (CDC) Self-Study Modules on Tuberculosis Self-study modules (CDC) Modules 1-5 Introduction Module 1: Transmission and Pathogenesis of Tuberculosis Module 2: Epidemiology of Tuberculosis Module 3: Targeted Testing and the Diagnosis of Latent Tuberculosis Infection and Tuberculosis Disease Module 4: Treatment of Latent Tuberculosis Infection and Tuberculosis Disease Module 5: Infectiousness and Infection Control Modules 1-5 Glossary Modules 1-6 Introduction Module 6: Managing Tuberculosis Patients and Promoting Adherence Module 7: Patient Rights and Confidentiality in Tuberculosis Control Module 8: Contact Investigations for Tuberculosis Module 9: Tuberculosis Outbreak Detection and Response Modules 6-9 Glossary Your local or state health department’s TB manual, regulations, tasks and standards, policies and procedures, etc. Technical Skills Training materials Suggested Completion Date Date Completed Core Curriculum on Tuberculosis: What the Clinician Should Know Self-study guide (CDC) Introduction and Table of Contents Chapter 1: Overview of Tuberculosis Epidemiology in the United States Chapter 2: Transmission and Pathogenesis of Tuberculosis Chapter 3: Testing for Tuberculosis Infection and Disease Chapter 4: Diagnosis of Tuberculosis Disease Chapter 5: Treatment for Latent Tuberculosis Infection Chapter 6: Treatment of Tuberculosis Disease Chapter 7: Tuberculosis Infection Control Chapter 8: Community Tuberculosis Control Appendix A: Glossary Appendix B: Answers to the Study Questions Appendix C: PowerPoint Slide Set Core Curriculum Slide Set If you conduct tests for TB infection Training materials Suggested Completion Date Date Completed Core Curriculum on Tuberculosis, Chapter 3: Testing for Tuberculosis Infection and Disease Self-study guide (CDC) Self-Study Modules on Tuberculosis Module 3: Targeted Testing and Diagnosis of Latent Tuberculosis Infection and Tuberculosis Disease Self-study module (CDC) Targeted Testing and Treatment of Latent TB Infection Webinar (CITC) Targeted Tuberculosis (TB) Testing and Treatment of Latent TB Infection Slides (CDC) Mantoux Tuberculin Skin Testing DVD or Podcast (CDC) T...
