PUBLIC EMPLOYEES RETIREMENT SYSTEM MONTHLY PAYROLL REPORT INSTRUCTION SHEET

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Hortense Holt
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1 PUBLIC EMPLOYEES RETIREMENT SYSTEM MONTHLY PAYROLL REPORT INSTRUCTION SHEET Please complete all forms in blue ink. Always send original forms to PERS. Please write neatly and clearly. DETAILED TRANSACTION REPORTS Ensure Social Security Numbers and Names are correct and listed in alphabetical order on the appropriate detailed transaction report. List each member's monthly gross compensation paid in the month being reported. List each member's retirement deductions withheld. Must be 4.5% of gross compensation for Tier I members first hired and first participates prior to July 1, 2015 and 6.0% of gross compensation for Tier II members first hired and first participates on or after July 1, List number of hours worked if employee is hourly. List number of days worked if employee is salaried or elected. Total the compensation column, the employee retirement deduction column and the #hours worked column on each detailed transaction report. MONTHLY RETIREMENT REPORTS (coversheets) State of West Virginia Two Monthly Retirement Reports: Tier I for covered employees first hired and first participates in PERS prior to July 1, % employee contribution rate. Tier II for covered employees first hired and first participates in PERS on or after July 1, % employee contribution rate. Complete Name and Address of Employer, Employer No. (X ), Contact Person, , & Telephone Number on each Monthly Retirement Report. List the number of contributing employees on each Monthly Retirement Report. (Refer to the PERS Participation Requirements Flowchart to determine participation requirements). If you do not have any TIER II employees, complete top part of report, write NA on number of employees and submit report. Line 1: Record total gross compensation from the Detailed Transaction Report for each TIER on the appropriate Monthly Retirement Report. Line 2: Record total employee contribution deductions from the Detailed Transaction Report for each TIER on the appropriate Monthly Retirement Report. Line 3: Use only for adjustments required by PERS on each Monthly Retirement Report. Do not use for rounding. Line 4: Total Employee Contributions Remitted (Line 2 + Line 3) on each Monthly Retirement Report. Line 5: Record total employer contributions remitted (must be 11.0% of total gross compensation (Line1). *Note: To check accuracy, multiply gross compensation by 11.0%. Total employer contributions remitted must be no more than 1 cent off for each contributing employee. Line 6: Use only for adjustments required by PERS. Do not use for rounding. Line 7: Total Employer Contributions Remitted (Line 5 + Line 6) on each Monthly Retirement Report. Line 8: Total Remitted (Lines 4 + Line 7). Must match amount of check(s). Complete the Certification and Signature section at the bottom of each Monthly Retirement Report. Signature stamps will not be accepted. Signatures must be originals and in blue ink. SUBMITTING REPORTS Send original Monthly Retirement Report, the Detailed Transaction Reports and check(s) to: Public Employees Retirement System P. O. Box Charleston, WV 25364

2 State of West Virginia PUBLIC EMPLOYEES RETIREMENT SYSTEM MONTHLY RETIREMENT REPORT TIPS & REMINDERS There are two tiers in the Public Employees Retirement System. Tier I: Employees first hired and first participaties in PERS prior to July 1, 2015 (4.5% of gross compensation) Tier II: Employees first hired and first participates in PERS on or after July 1, 2015 (6.0% of gross compensation) To ensure that members receive the correct amount of credited service, your Monthly Detailed Transaction Reports must include the number of hours worked for hourly employees, and the number of days worked for salaried and elected employees. Do not leave this section blank on your Detailed Transaction Reports. Total each column on each Detailed Transaction Report: gross compensation, employee retirement deductions and #hours worked. The Employee Contributions Withheld (Line 2) on each Monthly Retirement Report and the total employee retirement deductions from each Detailed Transaction Reports must match to-the-penny. If off by even one cent, plan rules require that an adjustment be made. Lines 3 and 6 on the Monthly Retirement Report are to be used for adjustments requested by PERS only. Do not use to correct rounding errors. In the event an adjustment is requested by PERS, you must take the credit and/or debit on the next submitted report following receipt of the invoice in the COMPASS system. All monthly payroll contribution remittances must be received by PERS by the 15 th of the following month to avoid delinquency surcharges. If the 15 th falls on a weekend or holiday, the due date will be the next business day. (Example: January s report is due on or before February 15 th ) Signature stamps are not permitted. Reports must be signed in blue ink only. Forms are available for download from our website at Be sure to choose the Public Employees Retirement System and then click on Forms link. You are not required to use the blank Monthly Detailed Transaction Report. You may instead, submit a print out from your payroll system so long as the data contains the same required information. (Information listed by 4.5%, then alphabetical order on one list; listed by 6.0%, then alphabetical order on second list). Contributions should be withheld and remitted only on compensation paid to a member in the month being reported. Any one-time flat or lump sum payment or any payments that are not guaranteed to be paid to members on a regularly scheduled basis are not considered compensation and, therefore, contributions must not be withheld and remitted to PERS.

3 State of West Virginia Please return completed form, back-up documents, and check(s) to CPRB. Attention: Employer Reporting Section All forms must be completed in blue ink. PUBLIC EMPLOYEES RETIREMENT SYSTEM MONTHLY RETIREMENT REPORT TIER I 4.5% EMPLOYEE CONTRIBUTION RATE Name and Address of Employer: Contact person: Employer No. Month/Year No. Contributing Employees Telephone No GROSS COMPENSATION of Covered Employees $ First hired and first participates in PERS prior to July 1, EMPLOYEE Contributions Withheld (4.5% of Gross Compensation) $ (Must match total on detailed transaction report exactly) 3. Employee Adjustment Amount $ 4. TOTAL EMPLOYEE CONTRIBUTIONS (Line 2+Line 3) $ 5. EMPLOYER Contributions (11.0% of Line 1) $ 6. Employer Adjustment Amount $ 7. TOTAL EMPLOYER CONTRIBUTIONS (Line 5 + Line 6) $ 8. TOTAL REMITTANCE (Line 4 + Line 7) $ REPORT DUE ON OR BEFORE THE 15 TH DAY OF THE MONTH FOLLOWING THE MONTH REPORTED. MAKE CHECK(S) PAYABLE TO: WV PUBLIC EMPLOYEES RETIREMENT SYSTEM I,, Executive Officer of the Payroll Record of do hereby certify that the above report, together with all continuation sheets attached thereto, is a true, correct, and accurate record made from our payroll records. Given under my hand this day of, 20. Signed by:.

4 West Virginia Public Employees Retirement System Monthly Detailed Transcation Report Employees first hired and first participates in PERS prior to July 1, 2015 TIER I 4.5% EMPLOYEE CONTRIBUTION RATE Employer Number Month Year Pay Period Starting Pay Period Ending Social Security Number Name of Employee List employess in alphabetical order Gross Compensation Employee Retirement Deduction (4.5%) # Days (S & E) # Hours (H) Code E=Elected S=Salary H=Hourly EXAMPLE: Doe, John L. $1, $ H TOTALS When a new employee is hired, or if an employee is returning to work after a leave of absence, please add all required information to back-up. If employee terminates position, please remove from back-up after last salary information has been reported.

5 State of West Virginia Please return completed form, back-up documents, and check(s) to CPRB. Attention: Employer Reporting Section All forms must be completed in blue ink. PUBLIC EMPLOYEES RETIREMENT SYSTEM MONTHLY RETIREMENT REPORT TIER II 6.0% EMPLOYEE CONTRIBUTION RATE Name and Address of Employer: Contact person: Employer No. Month/Year No. Contributing Employees Telephone No GROSS COMPENSATION of Covered Employees $ First hired and first participates in PERS on or after July 1, EMPLOYEE Contributions Withheld (6.0% of Gross Compensation) $ (Must match total on detailed transaction report exactly) 3. Employee Adjustment Amount $ 4. TOTAL EMPLOYEE CONTRIBUTIONS (Line 2 + Line 3) $ 5. EMPLOYER Contributions (11.0% of Line 1) $ 6. Employer Adjustment Amount $ 7. TOTAL EMPLOYER CONTRIBUTIONS (Line 5 + Line 6) $ 8. TOTAL REMITTANCE (Line 4 + Line7) $ REPORT DUE ON OR BEFORE THE 15 TH DAY OF THE MONTH FOLLOWING THE MONTH REPORTED. MAKE CHECK(S) PAYABLE TO: WV PUBLIC EMPLOYEES RETIREMENT SYSTEM I,, Executive Officer of the Payroll Record of do hereby certify that the above report, together with all continuation sheets attached thereto, is a true, correct, and accurate record made from our payroll records. Given under my hand this day of, 20. Signed by:.

6 West Virginia Public Employees Retirement System Monthly Detailed Transcation Report Employees first hired and first participates in PERS on or after July 1, 2015 TIER II 6.0% EMPLOYEE CONTRIBUTION RATE Employer Number Month Year Pay Period Starting Pay Period Ending Social Security Number Name of Employee List employess in alphabetical order Gross Compensation Employee Retirement Deduction (6.0%) # Days (S & E) # Hours (H) Code E=Elected S=Salary H=Hourly EXAMPLE: Doe, John L. $1, $ H When a new employee is hired, or if an employee is returning to work after a leave of absence, please add all required information to back-up. If employee terminates position, please remove from back-up after last salary information has been reported.

Consolidated Public Retirement Board

Consolidated Public Retirement Board 4101 MacCorkle Avenue, SE Charleston, WV 25304 304-558-3570 or 800-654-4406 www.wvretirement.com PRE-RETIREMENT BENEFICIARY DESIGNATION PUBLIC EMPLOYEES RETIREMENT