Fillable Userra Return To Duty Technician Checklist (Page 3 of 3) in pdf

Userra Return To Duty Technician Checklist Page 3

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VIII. RETIREMENT (MILITARY DEPOS IT)

You are eligible to make M ilitary Deposits for military service which may p otentially be creditable. In order to obtain federal retirement coverage

for military service, your HRO office will need to complete an RI 20-97 form, attach a copy of your DD-214, and submit them to DFAS.

These forms must be submitted in order to obtain credit for retirement purposes for the period on orders. Please contact MSgt Jeff Guzi at 272-4225

for additional information.

Initials

I understand my Retirement/Military Deposit conditions.

IX. THRIFT SAVINGS PLAN (TSP)

TSP Missed Contributions

You may make up any missed TSP contributions by contacting your HRO Representative. The request must be made within 60 days of returning

to duty. After the 60 days has passed, the request cannot be processed and will be returned without action. The agency will provide the associated

matching funds as missed TSP contributions are made up.

Any TSP Loan(s) and their appropriate pay deductions will resume effective on your RTD date. A TSP-41, Notification to TSP of Non-Pay Status

form will be generated on your behalf notifying TSP of your RTD.

Initials

I understand that I must request to do a TSP Make-Up Request within 60 da ys of returning to duty to make up missed

TSP contributions and to receive agency matching funds for the missed contributions.

Initials

Select and Initial ONLY ONE:

I DO NOT HAVE a TSP Loan.

I HAVE a TSP Loan.

XI. TECHNCIAN SIGNATURE

I have read and understand my US ERRA options, benefits, elections, and conditions.

Signature:

Date:

Mass Transit - Army and Air Technicians

Remarks

Co mpleted by:

Name:

Please contact the Army Mass Transit POC Mrs. Patricia Barth at 272-4223

Signature/Date

There is a six week wait from the date of enrollment before disbursement

of the commuter fare.

For all Air requests please contact Timothy Gibson at 422-5575

HUMAN RESOURCES US E ONLY

Co mplete/check off each item to verify co mpletion:

SF -52 attached

Orders (co mpatible notification) attached

Additional R

marks:

TSP Loan – TSP-41 Submitted: (Date)____________

Waiver of FEHB co mp leted/SF 2810 co mpleted on: (Date)____________

SF 2809 attached

Make-Up TSP Contribution Request Form and LES’s present

TSP 1% Agency Automatic Contributions

Page 3 of 3

USERRA RTD Technician Checklist

Userra Return To Duty Technician Checklist Page 3

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