INSTRUCTIONS: ALABAMA APPLICATION TO OBTAIN SERVICE CREDIT FOR MATERNITY LEAVE WITHOUT PAY

Members of the Alabama Employees' Retirement System can use the form discussed in this article to obtain service credit for maternity leave without pay. In order to be eligible to file this form, they must be an active member and contributing to the Employees' Retirement System at the time of purchase and must not have already received credit for this time with the program or any retirement plan other than Social Security. This document can be obtained from the website of the Employees' Retirement System of Alabama.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 1: On the first blank line, enter your first name, middle or maiden name, and last name.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 2: On the second blank line, enter your date of birth.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 3: On the third blank line, enter your Social Security number.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 4: On the fourth blank line, enter your street address or post office box number.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 5: On the fifth blank line, enter your city, state and zip code.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 6: On the sixth blank line, enter the name of your current employer.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 7: The bottom half of the form is to be completed by your employer. On the first and second blank lines of this section, they should enter the beginning and ending dates of your maternity leave without pay.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 8: On the third blank line, they should enter your employee job classification.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 9: On the fourth blank line, they should enter the name of the employing institution.

Alabama Application To Obtain Service Credit For Maternity Leave Without Pay Step 10: The certifying official should sign and date the form, as well as providing their official title.