PART-TIME PERSONNEL
EMPLOYEE NAME: ________________________________________ PHONE #: ___________________________
SOCIAL SECURITY: ________________________________________
1. Are you currently employed in a TRS (Teacher Retirement System of Texas) eligible position?
Yes
No
2. Are you currently having TRS deducted from your paycheck?
Yes
No
3. List the employer where TRS deductions are currently being withheld.
___________________________________________________________________________
**THIS INFORMATION WILL APPLY TO SCHOOL YEAR ___________________________
If you answered YES to #2, you must complete Form SSA-1945.
I understand that it is my responsibility to inform South Plains College if the above status changes.
______________________________________
Signature
______________________________________
Date
I AM A TRS RETIREE ______________YES ______________NO
BY SIGNING THIS, YOU WILL BE RESPONSIBLE FOR WORKING THE CORRECT AMOUNT OF HOURS
PERMITTED BY TRS. WORKING OVER THE ALLOWED AMOUNT, COULD RESULT IN THE LOSS OF YOUR
RETIREMENT BENEFIT.
**THIS LINE MUST BE ANSWERED BEFORE RETURNING TO THE PAYROLL
OFFICE. THANK YOU.