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Section 6 - IMRF

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Illinois Municipal Retirement Fund Member Accounts / Past Service / Employer Resolutions / SECTION 6<br />

Sample Forms<br />

Exhibits<br />

6A ---- Personal Statement of Benefits<br />

6B ---- Employer Member Statement Expanded Summary report<br />

6C ---- Employer Member Statement Summary report - DISCONTINUED<br />

6D 6.01 Request for Rollover Approval for Past Service Credit<br />

6E 6.02J Application for Military Service Credit<br />

6F 6.03 Application for Reinstatement of Service Credit<br />

6G 6.04 Application for Retroactive Service Credit<br />

6H 6.04A Exhibit discontinued.<br />

6I 6.05 Omitted Service Credit Verification<br />

6J 6.06 Conversion of Regular or SLEP Service Credit to Elected County Official (ECO)<br />

Service Credit<br />

6K 6.07 Application For Prior Service Credit<br />

6M 6.08 Form discontinued.<br />

6N 6.10 Form discontinued.<br />

6O 6.11 Designation of Beneficiary<br />

6P 6.19 Member Employment Information<br />

6Q 6.20 Member Information Change<br />

6R 6.21 Election to Participate for Qualifying Position<br />

6T 6.22 Election of Police Chief to Participate as a SLEP Member<br />

6U 6.23 Election to Contribute Under Additional Position<br />

6V 6.24 40-Year Service Election to Cease Contributions<br />

6W 6.28 Revocation of Election to Participate in Elected County Official Plan<br />

6X 6.30 Election to Make/Change Voluntary Additional Contributions<br />

6Y 6.32 Leave of Absence - <strong>IMRF</strong> Benefit Protection Leave<br />

6Z 6.33 Out-of-State Service Credit Authorization<br />

6AA 6.34 Retroactive Service by General Assembly Members - Application by Member<br />

of the General Assembly for Service Credit Authorization as Elected Official<br />

6BB 6.41 Notice of Termination of <strong>IMRF</strong> Participation – Online termination only, no paper<br />

forms are accepted.<br />

6CC 6.62 Resolution: To Allow unlimited Service Credit for Military Leave that<br />

interrupted <strong>IMRF</strong> Participation<br />

6DD 6.62A Resolution: To Allow limited Service Credit for Military Leave that interrupted<br />

<strong>IMRF</strong> Participation<br />

6EE 63A Resolution: To Allow Service Credit for Military Service prior to <strong>IMRF</strong><br />

Participation or for Members Who Do Not Return to <strong>IMRF</strong> Participation<br />

within 90 Days<br />

6FF 6.64 Resolution: Relating to Participation by Elected Officials in <strong>IMRF</strong><br />

6GG 6.68 Resolution: Adoption of the 1,000 Hour Standard<br />

6HH 6.71 Certificate of Sheriff’s Law Enforcement Service<br />

6II 6.72 Resolution: To Include Compensation Paid Under an Internal Revenue Code<br />

<strong>Section</strong> 125 Plan as <strong>IMRF</strong> Earnings<br />

6JJ 6.73 Resolution: To Include Compensation Directed into a Retirement Health Savings<br />

Plan as <strong>IMRF</strong> Earnings<br />

6KK 6.77 Suggested Form of Resolution to Adopt <strong>IMRF</strong> Early Retirement Incentive<br />

6LL 6.78 Resolution: To Adopt Amortization Period for <strong>IMRF</strong> Early Retirement Incentive<br />

6MM 6.79 Exhibit discontinued.<br />

6NN 6.80 Exhibit discontinued.<br />

6OO 6.81 Resolution: To Allow More Than 50 Months of Retroactive Service Credit for<br />

County Board Members<br />

6PP 6.82 Resolution: To Revoke Alternative Benefit Program for County Officers<br />

6QQ 6.83 Exhibit discontinued.<br />

January 2014 Page 225

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