INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS. Did you retire from one of the State of Washington Retirement Systems? YES NO Did you retire before age 65 using the 2008 early retirement factors (ERF)? YES NO Will you be receiving direct compensation for your services? YES NO Will you be receiving indirect compensation for your services? YES NO CONTRACTOR (Full, individual name of contractor): Signature: Social Security No.: Date:
Appears in 10 contracts
Samples: Professional Services, Professional Services, Professional Services
INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS. Did you retire from one of the State of Washington Retirement Systems? YES NO Did you retire before age 65 using the 2008 early retirement factors (ERF)? YES NO Will you be receiving direct compensation for your services? YES NO Will you be receiving indirect compensation for your services? YES NO CONTRACTOR (Full, individual name of contractor): YES NO Signature: Social Security No.. : Date:
Appears in 2 contracts
Samples: Personal Services Agreement, Personal Services Agreement
INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS. Did you retire from one of the State of Washington Retirement Systems? YES NO Did you retire before age 65 using the 2008 early retirement factors (ERF)? YES NO Will you be receiving direct compensation for your services? YES NO Will you be receiving indirect compensation for your services? YES NO CONTRACTOR (Full, individual name of contractor): Signature: Social Security No.. : Date:
Appears in 2 contracts
Samples: Personal Services Agreement, Janitorial Cleaning Services Agreement
