Employer and Retirement Coordinator Verification Form - opers ok 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1, where you will enter the employer information. Fill in the employer name, employer number, mailing address, phone number, and fax number accurately.
3. Move to Part 2 for the main retirement coordinator details. Indicate if there is no change or if a change is needed. Provide the retirement coordinator’s name, phone number, and email address. Specify access needs by selecting 'Add', 'Update', or 'Delete'.
4. In Part 3, list any alternate retirement coordinators along with their contact information. If more space is needed, attach an additional page.
5. Finally, complete Part 4 by certifying that the information provided is accurate. Ensure that if there’s a change in the main retirement coordinator, their supervisor signs this section.

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