Evening star., 1920-06-17
FORM QUESTIONS
FOR RETIREMENT
PLAN ANNOUNCED
Blank for Pension Application
Contains Seventeen Queries
on Service.


Application blanks for annuity,
| which will be ready for distribution
Mondpy to federal employees who are
eligible for retirement under the re-
Gently enacted civil service retirement
law, were made public today by Gay
lord NJ Saltzgaber. commissioner of
pensions
Annuities are based on length of
service and average pay for the last
ten years of service. the blank an
nounces on it's cover sheet, and the
application should be filled out with
out delay, sworn to and forwarded to
the head of the department or office
where last employed, it is stated.
| The blank contains seventeen ques-
tions for the applicant to fill out. The
| full name of the claimant, the ad
dress, date of birth and age in years
are asked for. and then comes a ques-
ton as to the date OF entrance into
| the civil service OF the United States.
Record H1o,sn in Detail.
Date OF fis,.tl separation from the
service Of s..2 United States is next
asked for il. question g. Were you on
the date OF separation, in the classified
service?" is the seventh question.
Question is elaborate. and requires
meath, in detail! the departments.
branches or independent offices of the
government in which employed, the
periods of employment and salary. pay
or compensation for at least the last
ten years of actual service.
,,f hot ttNny~ S-nl
airy. pay or compensation was ar annual,
monthly, daily, hourly or piecework
basis. DO not include bonuses, allow
ances, overtime pay or salary. pay or
compensation given in addition to the
base pay OF the positions as fixed by
law or regulation" the superannuate is
instructed
Question asks for the descriptive
title of the position in which you were
last employed, whether as railway
postal clerk, mechanic, city or rural
letter carrier. post Office clerk. de-
partmental clerk. or in other ca
pacity."
"Have you been on leave of absence
for any period in excess of six months
(not' including annual or sick leave
allowed by law or resulation)?" asks
question ID. IF so state particulars"
admonishes question IL.
Army Service Asked.
Question 12 asks if the applicant
has ever served in the Army, Navy,
Marine Corps or coast guard of the
United States, and the next questions
asks, If SO, to state rank and the
arm in which the applicant served,
giving full period of service.
Are you in receipt of pension un-
der any law or compensation under
the war risk insurance act?" asks
question IA. If so the applicant is in
cf 1trn fad in ha Fol
State the particular service on which
your pension or compensation is
based.''
Question 16 asks: "Are you in re-
ceipt of compensation under the pro-
visions of the act Of September Z,
1915. entitled An act to provide COM
pensation for employees of the United
States suffering injuries while in the
performance of their duties. and for
other purposes" The seventeenth
and last question says: IF SO, state
the compensation so received"
The applicant is required to sign
and get his signature sworn to. and
Is required to have two attesting and
Identifying witnesses.
May Precede Claim Date.
On the back of the blank is a GER
tificate to be filled out by the head Of
department. branch or independent
office, verifying the applicants ques-
tions. and giving additional informa-
ton. The application may be executed
thirty days before the claimant
reaches the retirement age, and when
completed it should be forwarded to
the commissioner Of pensions.
The pension bureau Is then charged
with securing additional information
in case the applicant shows that he
has served in other departments of
the government than that in which
lA u
provided for this purpose. but with
this the applicant has nothing to do.
All he has to fill out Is the big blank
previously given.
A third blank, made public today, is
for use by the pension office in secur-
additional information Of all kinds as
to the applicant. Nine questions are
included: Full name of claimant, date
of birth, date of commencement of
service, date of termination of service
and whether the claimant was in the
classified civil service. Then comes
space for a complete schedule of en-
ployment in various departments. de-
scriptive title of position, where last
employed, questions as to leave Of alb
sence for any period in excess of six
months, etc.
Sees L0ophole in Decision.
Commissioner Saltzgaber declared
today that there is nothing in the
decision of the Attorney General,
handed down yesterday in the case of
employees who are seventy years old,
but have not had fifteen years sery-
ice, which will prevent administra-
tive heads from certifying the eff
cheney of such employees, if this can
be properly done.
In case such an employe is properly
certified by the executive head of his
department he may be retained at his
job in two-year periods, despite the
fact that he has not had fifteen years
service. If he is not SO certified, he
will be dropped without annuity.
1t is believed that there will not be
many certificates of efficiency given to
employees who have reached great
ages, whether or not they have served
fifteen years in the departments.
CnuNnI DnlAi unI no I'D