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Get and Sign Opers Independent Contractor Form 2017-2022
Completed not later than 30 days after you begin providing
personal services to the public employer.
STEP 1: Personal Information
Social Security Number
Date of Birth
Month
Day
Year
First Name
MI
Last Name
Name of Current Employer
I am an OPERS or other retirement system benefit recipient
STEP 2: Public Employer Information
Name of Public Employer for Which You Are Providing Personal Services
Employer Contact
First Name
MI
Employer Code
Last Name
Employer Contact Phone...
Show details
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