| Name |
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SSN: |
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| The employee must work for the District a minimum of 10 years in a leave-qualifying capacity to qualify for the retirement leave incentive. |
| The employee must qualify for immediate retirement under the provisions of the Utah State Retirement guidelines. |
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| The maximum number of days the District will provide the retirement -leave incentive for is 120 days. The cash settlement of |
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| unused accumulated leave will be paid based on the employee's regular salary schedule position in their final contract year |
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| step and lane value excluding any extensions or salary modifications based upon the following scale. |
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| Days 1-50 15% |
Days 51-90 20% |
Days 91-120 25% |
*Before 7/1/05 All @25% |
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After 07/01/05 New Scale |
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| DOB |
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| Date of Employment- |
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| Last Working Day- |
Assumption |
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| Salary Contract Days |
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| Certified Teacher |
Elementary Principal |
High School Principal |
District Office All Staff |
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| 183 |
205 |
220 |
225 |
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| Calculation |
|
(Maximum Available 120) |
1-50 Days @ 15% |
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| Contract Salary |
Daily Rate |
Total Accumulated Sick Leave |
51-90 Days @ 20% |
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| Lane 4 Step 25 |
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91-120 Days @ 25% |
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| |
$0.00 |
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$0.00 |
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| (Step & Lane Only, No extra) |
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| *Note Policy will allow this yearly stipend to be paid all on the June 15th Career Ladder Payroll |
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Only Certified Staff Eligible for Early Retirement~ Below This Line |
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| $3,000 per year Waive Max |
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Yearly Total |
Monthly Cost to District |
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$0.00 |
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$0.00 |
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$0.00 |
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| (Policy Sept. 1 to Aug. 31) |
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| (Three years our until 65th birthday or when Medicare Eligible) |
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$0.00 |
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| (Certified Employees Only)~ |
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| Early Retirement Stipend (Certified Teachers Only) |
(N/A)$1,500 per year for 3 yrs. or until employee is eligible for Medicare. |
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| Yearly Stipend (FY20) |
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| Yearly Stipend (FY21) |
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| Yearly Stipend (FY22) |
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| Stipend may be paid on the 6/15/?? CL Payroll or spilt over June, July, and August payrolls. |
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| Notes: |
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Sick Leave |
$0.00 |
10-027--0050-1000-230 |
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Insurance |
$0.00 |
10-027--0050-1000-240 |
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Early Retirement |
$0.00 |
10-027--0050-1000-235 |
| Employee Signature: |
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$0.00 |
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| District Offical: |
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Note: The above stipends will not be calculated toward retirement earnings. |
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GBQ-1_Early_Retirement_Assistance_Contract.pdf
