EE-0681 PDF Details

All applications should be submitted online using the Employers' Pensions and Benefits Information Connection (EPIC).

Work hours: are the work hours fixed at 32 hours (Local) or 35 hours (State) or more per week?

Signatures: two signatures required; unsigned applications will be returned.

Elected officials: on or after July 1, 2007, a newly elected official is ineligible for enrollment in the PERS.

Proof of age: do not delay submitting the Enrollment Application if proof of age is not available.

QuestionAnswer
Form NameEE-0681
Form Length3 pages
Fillable?Yes
Fillable fields73
Avg. time to fill out13 min
Edition0821
Issuing agencyDivision of Pensions & Benefits
Other namesEE-0681, EE-0681-0821, EE0681, PERS/TPAF Enrollment Application, NJ Enrollment Application
Official sourceEE-0681 (Rev 0821), New Jersey Division of Pensions & Benefits