Connecticut Teacher Retirement Maternity Leave Form
This form allows Connecticut teachers to apply for additional credited service for maternity leave. Complete this form to document your eligibility for purchasing maternity leave credits. Ensure that all required information and documentation are submitted per the guidelines.
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How do I fill this out?
To fill out this form, start by providing your personal information in Section A. Then, Section B must be completed by your local school district superintendent. Make sure to submit a copy of your child's birth certificate along with the filled-out form.
How to fill out the Connecticut Teacher Retirement Maternity Leave Form?
1
Complete Section A with your personal information.
2
Have your local school district complete Section B.
3
Attach a copy of your child's birth certificate.
4
Review the form for completeness and accuracy.
5
Submit the completed form to the Connecticut Teachers' Retirement Board.
Who needs the Connecticut Teacher Retirement Maternity Leave Form?
1
Teachers who are expecting a child and need maternity leave credits.
2
School districts that require documentation for maternity leave.
3
Members of the Teachers' Retirement Board needing maternity leave verification.
4
Human resources personnel managing teacher leave policies.
5
Education administrators overseeing leave requests.
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Use the editing tools to modify text or fields as needed.
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Review the changes made to ensure everything is accurate.
5
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What are the instructions for submitting this form?
To submit this form, send it directly to the Connecticut Teachers' Retirement Board via fax at (860) 525-6018 or by email at info@ct.gov. Physical submissions can be mailed to 165 Capitol Avenue, Hartford, CT 06106-1673. Ensure all supporting documents are attached and that the form is completely filled out before submission.
What are the important dates for this form in 2024 and 2025?
For 2024, be aware of the filing deadlines leading up to October 1, which is when the policy changes take effect. For 2025, similar deadlines should be anticipated as the policy remains constant.
What is the purpose of this form?
The purpose of this form is to facilitate teachers in Connecticut who need maternity leave credits. It allows members of the Connecticut Teachers' Retirement Board to document their eligibility for additional credited service. This ensures that teachers can retain their benefits while balancing the responsibilities of motherhood.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The full name of the teacher applying for the service.
- 2. Address: The current address of the teacher.
- 3. SS# (last 4 digits): The last four digits of the social security number.
- 4. Telephone: Contact number for the teacher.
- 5. City State Zip: The city, state, and zip code of the address.
- 6. Email: The email address of the teacher.
- 7. Member Signature: Signature of the teacher for authorization.
- 8. Date: Date of signature.
- 9. Superintendent's Signature: Signature of the superintendent for authorization.
What happens if I fail to submit this form?
If the form is not submitted, teachers may miss out on earning maternity leave credits. This could impact their overall retirement benefits. It is crucial to adhere to the submission guidelines to avoid any loss of eligibility.
- Loss of Benefits: Failure to submit may lead to loss of maternity leave credits.
- Impact on Retirement: Ineligibility for enhanced retirement service credits.
- Incomplete Records: Missing documentation may result in recordkeeping issues.
How do I know when to use this form?
- 1. Applying for Maternity Leave Credits: When a teacher wants to document their maternity leave for additional service credits.
- 2. School District Compliance: For school districts to have formal documentation of maternity leave policies.
- 3. Planning for Retirement: For teachers to secure their financial future during maternity.
Frequently Asked Question
How do I fill out the Connecticut Teacher Maternity Leave Form?
Begin by entering your personal details in Section A. Have your school district complete Section B and attach a birth certificate.
Can I edit this form online?
Yes, you can easily edit the PDF using PrintFriendly's editing features.
What documents do I need to submit with the form?
A copy of your child's birth certificate is required along with the completed form.
What if I make a mistake on the form?
You can edit the form using PrintFriendly before final submission.
How do I submit the completed form?
Submit the form directly to the Connecticut Teachers' Retirement Board via email or fax.
Is there a deadline for submitting this form?
It's important to submit the form prior to your retirement date to ensure eligibility.
Where can I find the form?
The form is available for download from the Connecticut Teachers' Retirement Board website.
Do I need my principal's signature?
You will need the superintendent's signature from your local school district.
Can I share the PDF with others?
Yes, PrintFriendly allows you to share your PDF via various platforms.
What happens if I do not submit this form?
You may lose the opportunity to purchase maternity leave credits.
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