New Employees

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  • PERS Non-Covered Acknowledgment

    As a temporary employee, you are not eligible to participate in the state retirement plan (PERS). Your signature on this form will indicate your understanding that you are not covered.

    • Review information on form and make any appropriate corrections or complete missing information.
    • Print, sign and date.
    • Have two witnesses sign and date, or we will furnish witnesses on your first day of orientation.