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REEMP CERT March 09
Date of receipt
Certificate of Re-employment
After Retirement
Mowden Hall Please fully complete Part A in CAPITALS and pass to your
Darlington DL3 9EE employer to complete Part B
A separate Certificate is required from each employer
if you have more than one
Important: You should read the fact sheet– Returning to work after receiving pension benefits, which explains the effects of
future earnings on your pension.
If you are only in receipt of an Actuarially Reduced Pension, or Phased Retirement Benefits it is not necessary to complete this
form but you should read the re-employment fact sheet. Where we hold your email address we may use this address to
communicate with you.
PART A - Information required to assess the effect of earnings from
re-employment on pension
Personal details
1 Teacher’s reference number 8 Contact address
RP /
2 Surname (one character to each box) O ‘ R E I L L Y
3 Former Surname (if any)
Postcode —
4 First Name(s) 9 Home telephone number (including STD code)
5 Title
10 Mobile telephone number
Mr Mrs Miss Ms Other
If other, please specify
11 E-mail address
6 Date of Birth (e.g. 15/04/45)
7 National Insurance number 12 Did your employer increase your retirement benefits?
Yes No
Please confirm the date you first commenced teaching employment after retirement.
Signed Date
PART B - To be completed by the employer and returned without delay
This section must be completed where the teacher is in receipt of Age or Premature Retirement Benefits. It is not required for teachers only in receipt of Actuarially
Reduced benefits or Phased Retirement benefits.
Please ensure that all re-employed teachers are included in your annual return.
1 Establishment number / 2 Last date of employment (If known) Teacher’s reference number RP /
e.g. 8 7 1 / 6 0 0 0
Employment Details (All sections must be completed)
You are required to complete all sections of Part B, irrespective of whether pension contributions should have been deducted. Service details must be provided for a full year or up to the member’s last
day of re-employed service (whichever is the earliest), and must not span 31 March. Where there is a future ‘end’ date please provide forecasted earnings up to that date if possible. In cases where the
member has been re-employed on a part time basis and there are no earnings, please indicate the service as all days out. The ‘special classes’ indicator must be completed in all cases of part
time re-employment, i.e. ‘7’ for regular part time and ‘8’ for irregular part time.
If the re-employment is in a supply capacity, you must retain the Certificate and submit it as soon as the earnings are known.
Allowances
Full-time annual
Actual part
Start Date End Date salary rate Enter S if
Full (F) time salary London Social Other School No Withdrawal
(including Days salary is Special
Salary Scale or Part- paid Additions Priority allowance Supp or Indicator
Pensionable excluded safeguarde classes
time (P) in period (I, A, O or (1, 2, 3 s field Employme
day month year day month year Allowance) d (7 or 8)
£ F) or 4) £ nt code (W)
£
Certificate
The certificate must be signed by a responsible officer of the Local Authority in respect of all maintained schools including both foundation
and voluntary aided schools. In the case of other institutions, the certificate must be signed by a responsible officer or chairperson of the
governing body. This cannot be a member of the teaching staff.
Signed Name of officer( in CAPITAL letters)
Official stamp (LA only). If non-LA establishment,
Telephone number please give address and post code.
Position Extension
(include STD code)
You should now submit this application to
Name of contact for admin Teachers’ Pensions
purposes (In CAPITAL letters) Email address
• Mowden Hall
• Darlington
Telephone number Extension Fax Number Date • DL3 9EE
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