Division:

Human Resources (HR)

Title:

Standard Operating Procedures

Procedure:

Retirement Return of Contributions

Original Effective Date:

5/17/05

Revised Effective Date:

 

 

     

     Procedure:

 

 

  1. Employee must complete an “Application for Retirement Contributions Refund” (Form 5) and have it properly notarized.  Complete instructions and form are available on pages 48-52 of the Retirement Employer Manual.

 

http://www.nctreasurer.com/NR/rdonlyres/870B1BD4-F381-4423-99BE-52A64043F605/0/00387_1_12TeaStateFINAL.pdf

 

  1. The employer certification section of Form 5 must be completed by DHHS Payroll only if the member separated employment within the last six months or if terminated.

 

  1. Send the original Form 5 to the Department of State Treasurer, Retirement Systems Division, 325 North Salisbury Street, Raleigh, North Carolina  27603-1385.