Florida Retirement System (FRS) - Certification Form - Hillsborough ... - hccfl 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and Social Security Number (SSN) at the top of the form. This information is essential for identification purposes.
  3. Next, specify your agency name and any previous FRS employer if applicable. This helps in tracking your retirement history.
  4. Proceed to complete one of the sections: I, II, III, or IV based on your retirement status. If you have never been a member of a State of Florida administered retirement plan, simply sign and date Section I.
  5. If you were a member of an FRS plan, select the appropriate option in Section II and complete Sections III or IV as necessary. Ensure you understand the implications of reemployment as outlined in these sections.
  6. Finally, review all entered information for accuracy before signing and dating the form at the bottom. This ensures that your submission is valid and complete.

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