RESIGNATION AND REQUEST FOR EARLY RETIREMENT
I, _____________________________, born on _________________, hereby submit my resignation to the Board of Directors of the Colo-NESCO Community School District and elect the early retirement benefits available to employees in the Colo-NESCO Community School District. This resignation is subject to the acceptance of my application for early retirement benefits.
I commenced my most recent continuous service in the Colo-NESCO Community School District on ________________________.
COMPUTATION OF EARLY RETIREMENT BENEFIT
1. Current Salary Schedule & TSS Funds: _______________________________
X
2. 30% Early Retirement Benefit _______________________________
DESIGNATION OF BENEFICIARY
If the Board approves my application for early retirement benefits and I die before I receive the Benefit, I direct the Board to pay the Benefit to:
_____________________________________
(Name of Beneficiary)
Print Full Name __________________________________________________
Signed ___________________________________ Date _________________
The resignation and request for early retirement was accepted by the Board of Directors on the _____ day of _________________, 2019, by action as noted in the minutes of the Board.
_______________________________________________
Secretary of Board of Directors
Colo-NESCO Community School District
