Name

Date

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CLASSIFIEDTEMPORARY AIDE LETTER OF OFFER TEMPLATE

Rev 07/2017

Date

Complete and/or make choices in each highlighted section filling in the blanks as appropriate.Delete highlighted instructions, underlines, and references. Please check final formatting and page breaks.

Name

Address

City/State/ZIP

Dear Dr./Mr./Ms./Miss/Mrs. Surname only:

I am pleased to offer you an appointment to the University of ColoradoColorado Springs as a Temporary Aidein theDepartment Name/Collegefor a period not to exceed nine months, effective Month/Day/Year. You will report to me/or list another individual here as your supervisor. Attached is a copy of your position description. The State Personnel System Employee Handbook outlines the rules governing positions in the state personnel system and can be found at:

This offer is contingent upon you successfully passing a background check to include license, prior employment verification, sex offender registry check, and criminal history. Positions entrusted with master keys and/or financial system access must also pass a credit history check. List other pre-employment conditions of the position, such as drug screening, etc.A successful background check and drug screen or other pre-employment requirementmust be received by the University prior to the commencement ofemployment.If there is a delay in the background check or other pre-employment requirement, it may be necessary to revise your start date. The University retains the right to conduct background checks on any employee. Should the University conduct a background check on you while you are employed, you will be notified.

Your hourly rate will be $Amount and will be paid bi-weekly. You must report the hours that you have worked in the MyLeave system. The position to which you are appointed is eligible for overtime compensation if you work more than 40 hours in a standard work week (please consult your supervisor for specific information on your standard work week). Pre-approved overtimeis compensated at one and one-half (1½) times the employee’s regular hourly rate for each additional hour worked. It is the campus policy that non-exempt employees may work overtime only with priorsupervisory approval. Should overtime be pre-approved and worked, it willbe paid out on the next regular pay period.

For PERA retirees only (delete paragraph if candidate is not a PERA retiree):

As Colorado Public Employees’ Retirement Association (PERA) retiree, you are eligible to work as permitted by Colorado law, but your employment at UCCS may have an effect upon your PERA retirement benefits. You are responsible for accurately reporting the days/hours that you work at UCCS to PERA, as well as for monitoring your employment to ensure that you are in compliance with all PERA requirements. Effective January 1, 2011, all PERA retirees working after retirement must pay the working retiree contribution. The working retiree contribution does not accrue any additional benefit and retirees are not eligible for a refund of these contributions. PERA retirees are not eligible to participate in other retirement programs offered at UCCS and they do not accrue vacation, sick, or holiday leave.

(you may delete this paragraphONLY if candidate is PERA retiree and you have included the preceding paragraph):

As Temporary Aidein the state personnel system, you will contribute to the Public Employees’ Retirement Association (PERA) in place of Social Security. In the future, if you accept permanent employment at UCCS, you will remain in PERA as your retirement plan. Your salary is not covered by Social Security and there may be implications to any Social Security Benefits you may receive in the future. We are required to notify you of this and ask that you read and sign the attached Statement Concerning Your Employment in a Job Not Covered by Social Security form and return this completed form to me with your signed offer letter.

In addition, (you may add additional information that is an important component of the job here (such as work hours, uniforms, parking, etc.)

As soon as possible, but no later than the first day of employment, you must submit employment paperwork and documentation to the Human Resources Office in Cragmor Hall 110 in order to get paid. Their website ( has information about required paperwork and employment verification.

Pursuant to the Immigration Reform and Control Act (IRCA), the University must verify your employment eligibility within the first three working days of employment. IRCA requires every employee to complete an I-9 Form and to provide certain documents for examination that verify identity and employment eligibility. As a condition of your employment you must submit the required documentation to the Office of Human Resources, Cragmor Hall 110, prior to beginning employment at the University. Failure to submit IRCA documentation will result in the termination of this appointment.

Congratulations on your appointment and welcome to UCCS. We are looking forward to working with you. If you have question about this offer of employment, do not hesitate to contact me or the Office of Human Resources. Please notify me of your willingness to accept this position by returning the signed original letter to Name by Month/Day/Year.We look forward to your acceptance of this offer and your contributions to the University.

Sincerely,

______

Name of Appointing Authority

Title of Appointing Authority

An additional signature line may be added for the supervisor.

I accept this offer of the classified temporary position described above and on the attached position description.

______

Signature Date

Speedtype______

Attachments: Position Description

Form SSA-1945

Original:Human Resources Office

cc:Employee

Supervisor

Department

Statement Concerning Your Employment in a Job

Not Covered by Social Security

______

Employee Name ______Employee ID# ______

Employer NameUniversity of Colorado Colorado SpringsEmployer ID# 84-6000555

Your earnings from this job are not covered under Social Security. When you retire, or if you become disabled, you may receive a pension based on earnings from this job. If you do, and you are also entitled to a benefit from Social Security based on either your own work or the work of your husband or wife, or former husband or wife, your pension may affect the amount of the Social Security benefit you receive. Your Medicare benefits, however, will not be affected. Under the Social Security law, there are two ways your Social Security benefit amount may be affected.

Windfall Elimination Provision

Under the Windfall Elimination Provision, your Social Security retirement or disability benefit is figured using a modified formula when you are also entitled to a pension from a job where you did not pay Social Security tax. As a result, you will receive a lower Social Security benefit than if you were not entitled to a pension from this job. For example, if you are age 62 in 2013, the maximum monthly reduction in your Social Security benefit as a result of this provision is $395.50. This amount is updated annually. This provision reduces, but does not totally eliminate, your Social Security benefit. For additional information, please refer to Social Security Publication, “Windfall Elimination Provision.”

Government Pension Offset Provision

Under the Government Pension Offset Provision, any Social Security spouse or widow(er) benefit to which you become entitled will be offset if you also receive a Federal, State or local government pension based on work where you did not pay Social Security tax. The offset reduces the amount of your Social Security spouse or widow(er) benefit by two-thirds of the amount of your pension.

For example, if you get a monthly pension of $600 based on earnings that are not covered under Social Security, two-thirds of that amount, $400, is used to offset your Social Security spouse or widow(er) benefit. If you are eligible for a $500 widow(er) benefit, you will receive $100 per month from Social Security ($500 - $400=$100). Even if your pension is high enough to totally offset your spouse or widow(er) Social Security benefit, you are still eligible for Medicare at age 65. For additional information, please refer to Social Security Publication, “Government Pension Offset.”

For More Information

Social Security publications and additional information, including information about exceptions to each provision, are available at You may also call toll free 1-800-772-1213, or for the deaf or hard of hearing call the TTY number 1-800-325-0778, or contact your local Social Security office.

I certify that I have received Form SSA-1945 that contains information about the possible effects of the Windfall Elimination Provision and the Government Pension Offset Provision on my potential future Social Security benefits.

Signature of Employee ______Date ______

Form SSA-1945 (01-2013)

Information about Social Security Form SSA-1945 Statement Concerning Your

Employment in a Job Not Covered by Social Security

New legislation [Section 419(c) of Public Law 108-203, the Social Security Protection Act of 2004] requires State and local government employers to provide a statement to employees hired January 1, 2005 or later in a job not covered under Social Security. The statement explains how a pension from that job could affect future Social Security benefits to which they may become entitled.

FORM SSA-1945, Statement Concerning Your Employment in a Job Not Covered by Social Security, is the document that employers should use to meet the requirements of the law. The SSA-1945 explains the potential effects of two provisions in the Social Security law for workers who also receive a pension based on their work in a job not covered by Social Security. The Windfall Elimination Provision can affect the amount of a worker’s Social Security retirement or disability benefit. The Government Pension Offset Provision can affect a Social Security benefit received as a spouse or an ex-spouse.

Employers must:

  • Give the statement to the employee prior to the start of employment;
  • Get the employee’s signature on the form; and
  • Submit a copy of the signed form to the pension paying agency.

Social Security will not be setting any additional guidelines for the use of this form.

Copies of the SSA-1945 are available online at the Social Security website, Paper copies can be requested by e-mail at or by fax at 410-965-2037. The request must include the name, complete address and telephone number of the employer. Forms will not be sent to a post office box. Also, if appropriate, include the name of the person to whom the forms are to be delivered. The forms are available in packages of 25. Please refer to Inventory Control Number (ICN) 276950 when ordering.

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Form SSA-1945 (01-2013)