Rs 2050 Form PDF Details

When it comes to meticulous record-keeping and adjustments in the realm of public employment and retirement systems, the RS 2050 form plays a crucial role. This document, designed for use within specific retirement systems like the New York State and Local Retirement System (NYSLRS), allows for the correction of previously reported days worked and salary earned by public employees. It's a pivotal tool for ensuring that employee records are accurate, which in turn, affects their retirement benefits and contributions. The form requires detailed information, including the employer's name, location code, and specific details about the adjustment being made, such as the number of days and the amount of salary adjusted. It also calls for certification by the employer that the adjustments made are accurate and in compliance with the New York State Codes, Rules, and Regulations. This form, mandated to be completed in blue or black ink, underscores the importance of precision and clarity in its completion, highlighting a formal process aimed at maintaining the integrity of the employee's work and salary records for retirement purposes. The requirement for an original signature further emphasizes the seriousness and formal nature of this adjustment process, ensuring both the employer and the retirement system can rely on the veracity of the information provided.

QuestionAnswer
Form NameRs 2050 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform 2050, report adjustments adjustment pdf, new york state retirement form rs 2050, adjustment retirement rs

Form Preview Example

Please type or print clearly in blue or black ink

Received Date

Adjustment Report

RS 2050

Employer Location Code

SEE INSTRUCTIONS FOR COMPLETING FORM ON REVERSE SIDE

(REV.02/19)

DO NOT COMPLETE THIS FORM IF THIS INFORMATION HAS ALREADY BEEN SUBMITTED ON A SALARY AND SERVICE CERTIFICATION

Employer Name:

Employer Code

Report Code

Page _________of __________

Reg No./

*Emp

 

Member’s Name

 

 

Last 4 digits

Report

Days

Days for

Salary

 

Salary for

NYSLRS ID

Inst

 

 

 

 

of Social

Period

Adjustment

Period

Adjustment

 

Period

 

 

Last

First

M.I.

 

Security

Month/Year

 

Should

 

 

Should Be

 

 

 

 

 

 

Number

 

 

 

Be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that the adjustments on this form constitute a true, correct and complete accounting of all such

 

TOTALS

 

adjustments. They have not been and will not be shown on any other report. I certify that each person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

actually worked the adjusted number of days or was paid the adjusted amount of salary and that this data

 

 

 

 

 

 

 

 

was determined according to Part 315 of Title 2 of the New York State Codes, Rules and Regulations

 

 

 

 

 

 

 

 

Certified By:

Title:

Date:

Telephone Number:

( )

All changes to your monthly report must be done on this form.

RETIREMENT SYSTEM USE ONLY

Examined By:

Date:

RS 2050 (Rev. 02/19)

*02/19RS2050*
Days and salary adjustment may be negative. Each page must be totaled.
O. Certification Section: Original signature is required on each report.
N. Net Totals: Enter the net totals for each column.
J. *Days Adjustment: The number of days being either added or reduced. Reductions must be placed in parenthesis.
K. Days for Period Should Be: The net result of original days reported on monthly report plus or minus the adjustment.
L. *Salary Adjustment: The amount of salary being either added or reduced. Reductions must be placed in parenthesis.
M. Salary for Period Should Be: The net result of original salary reported on monthly report plus or minus the adjustment.
Report
1
_________
Number of Pages in This
TODAY’S DATE: 08/06/18
2311 77
Total Salary
Should Be
REPORT CODE: 010
(89 00)
Total Salary Adj. ____________
EMPLOYER CODE: 39999
40 00
_____________
Total Days
Should Be
EMPLOYER NAME: Town of Sample
Total Days Adj.
(1 50)
____________
SAMPLE- RS 2050-A
*Important: All negative adjustments to days and salary must be in parentheses ( ), as in samples below. Positive and negative entries should not be entered on the same line.
Adjustment Report Label:(RS 2050-A) One copy of the label must be completed and attached to the first page of the Adjustment Report. Include the total(s) for all pages submitted for the same report code for that date.

INSTRUCTIONS FOR COMPLETING ADJUSTMENT REPORT (RS 2050)

Members of the Police and Fire Retirement System cannot be included on the same Adjustment Forms with members of the Employees’ Retirement System.

Please use this form to correct members’ days worked, and/or salary earned.

G. Member’s Name: Enter full name (last, first, middle initial)

H. Social Security Number: Enter the last 4 digits of member’s social security number.

I.Report Period Month/Year: Enter the month and year to which the adjustment refers.

FOR A REFUND PLEASE NOTE:

For a credit of member contributions, the employer must attach a separate memo listing the following: member’s registration number, member’s name, month and year of over-payment and the reason the refund is being requested. If you require additional assistance please contact our Employer Reporting Office at (518) 408-4146 or (518) 473-6793

Letters refer to areas on the sample form segment below.

A. Employer Name: Legal name of public employer

B. Location Code: The five digit number assigned to each participating employer by the Retirement System.

C. Report Code: This is a 2 digit number assigned by the Retirement System to uniquely identify a report.

D. Pages: Please number each page of RS 2050 being submitted up to 5 per label.

E. Retirement Registration Number/NYSLRS ID: Enter the member’s 8 digit registration number (Police and Fire numbers always begin with “0A” or “0B”)/or NYSLRS ID is a 9 digit member identification starting with “R.”

F.*Employment Instance: This field is only required for Enhanced

Reporters. This is a members Employment Instance.

***********************************************************************************************************************************************************************************************************************

A

 

SAMPLE - RS 2050

B

 

C

 

 

 

D

 

 

 

 

 

Employer Name:

 

 

 

 

Employer Code:

 

Report Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town of Sample

 

 

 

 

39999

 

 

010

 

 

 

Page _____1____of _____1_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

F

 

G

 

 

H

 

 

 

I

J

K

L

M

Reg No./

 

*Emp

Member’s Name:

Last 4 digits

 

Report Period

Days

Days for

 

Salary

Salary for

 

NYSLRS ID:

 

Inst

 

 

 

 

of Social

 

Month/Year:

Adjustment:

Period

 

Adjustment:

Period

 

 

 

 

Last

First

M.I.

Security

 

 

 

 

 

 

 

Should

 

 

Should Be:

 

 

 

 

Number:

 

 

 

 

 

 

 

Be:

 

 

 

 

R55555555

 

10

Gordon,

James

T

6789

 

 

06

 

92

3.50

20.00

 

211.00

1411.77

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R66666666

 

62

Brown,

Ruth

C

1666

 

 

06

 

92

(5.00)

20.00

 

(300.00)

900..00

 

 

 

 

 

 

 

 

 

 

N

 

TOTALS

(1.50)

40.00

 

(89.00)

2311.77

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O

 

 

 

 

MAIL COMPLETED FORM TO:

Certified By:

Title:

Date:

Telephone Number:

NEW YORK STATE AND LOCAL RETIREMENT SYSTEM

ORIGINAL SIGNATURE REQUIRED

Supervisor

7/27/1992

( 555 ) 111-1111

EMPLOYER SERVICES BUREAU

MAIL DROP 5-4

 

 

 

 

110 STATE STREET

 

 

 

 

ALBANY, NY 12244-0001

RS 2050 (Rev. 02/19)

 

 

 

 

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Corporations See instructions on, Date, and Under penalties of perjury I of adjustment report

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