Section Ret 502.07 - Filing NHRS Form 10, Petition For Employer Enrollment Oversight(a) "Employer enrollment oversight" means a period of time when a member met the eligibility requirements for membership but was not properly enrolled in the system on time.(b) A member seeking to acquire additional service credit under the enrollment oversight provisions shall complete and file NHRS Form 10.(c) The member shall complete Part I of NHRS Form 10 by providing the following: (2) The dates of the disputed service;(4) The member's Social Security number;(5) The member's signature;(6) The date of the application;(7) The member's telephone number; and(8) The member's address.(d) The employer identified in Part I, through its certifying official, shall complete Part II of NHRS Form 10 by providing the following: (1) The name of the certifying official;(2) A determination of eligibility;(3) The name of the employer;(4) The dates of the dispute service;(5) The employer's agreement or disagreement with the claim;(6) The date of completion;(7) The signature of the employer's authorized agent;(8) The employer's telephone number;(9) The employer's mailing address; and(10) The certifying official's title.(e) The member's current employer, through its certifying official shall complete Part II of NHRS Form 10 by providing the following:(2) The certifying official's name;(3) The member's current annual base salary;(4) The date of completion;(5) The employer's telephone number;(6) The employer's mailing address;(7) The certifying official's title; and(8) The certifying official's signature.(f) Any member who claims financial hardship and the inability to pay his or her proportional share of a purchase of creditable service under Ret 308.12 shall file as a financial statement, Form FS-1.(g) The employer thru its certifying official by signing Part II of NHRS Form 10 shall certify the accuracy of the information provided.N.H. Admin. Code § Ret 502.07
#7574, eff 10-10-01, EXPIRED: 10-10-09
New. #9563, eff 10-14-09