Opers independent contractor form 2026

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The document is an acknowledgment form for individuals providing personal services to a public employer in Ohio, classifying them as independent contractors rather than public employees. It outlines the requirement to complete the form within 30 days of starting services, informs that no contributions will be made to the Ohio Public Employees Retirement System (OPERS), and explains the process for disputing this classification. The form must be retained by the employer and a copy sent to OPERS.

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Click ‘Get Form’ to open the opers independent contractor form in the editor.
Begin by filling out your personal information in Step 1. Enter your Social Security Number, First Name, Middle Initial, Last Name, and the Name of Your Current Employer.
Proceed to Step 2 for Public Employment Information. Here, provide the Name of the Public Employer you are working for, along with the Employer Contact's First Name, Middle Initial, Last Name, and Phone Number. Specify the Service Provided and include both Start and End Dates of Service.
In Step 3, read through the Acknowledgment section carefully. By signing this form, you confirm that you understand your classification as an independent contractor and that no contributions will be made to OPERS on your behalf. Ensure you sign and date the form appropriately.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (113 Votes)
2013	4.4 Satisfied (137 Votes)

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