Advice Of Personnel Action Form 2020 - Kentucky Retirement Systems
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1Kentucky Retirement Systems
Perimeter Park West
1260 Louisville Rd.
Frankfort KY 40601-6124
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Phone: (502) 696-8800
Fax: (502) 696-8822
kyret.ky.gov
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Form 2020
Revised 05/2010
Advice of Personnel Action
Member Information
Member Name:
Member ID:
Employment Begin Date:
The Employment Begin Date represents the date the member's employment began with your agency.
Eligibility Date:
The Eligibility Date represents the date the member became eligible to contribute to KRS.
Employment End Date:
The Employment End Date represents the date the member terminated employment.
Employer Information
Employer Name:
Employer Code:
Phone Number:
Signature of Agency
or Authorized Official:
Date:
Title:
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