Alaska Documents

Alaska Documents

Homepage Alaska Gen020 Form in PDF

Example - Alaska Gen020 Form

Alaska Cost-of-Living Allowance (COLA)

Afidavit of Residency

 

IRU#RIILFH#XVH#RQO\#

 

 

 

 

 

 

Division of Retirement and Beneits

Juneau: 465-4460

Toll-Free: 1-800-821-2251

PO Box 110203

TDD: (907) 465-2805

alaska.gov/drb

Juneau, Alaska 99811-0203

Fax: (907) 465-3086

Name (First, M.I., Maiden, Last)

Social Security Number (last 4 digits)

Physical Address (Street Address, City, State)

Mailing Address (City, State, ZIP+4)

COLA is for retirees who reside in the State of Alaska. Resides means domiciled and physically present in the state.

2 AAC 36.210 (TRS) and 2 AAC 35.240 (PERS) states a person domiciled in the state is a person who:

(1)maintains his or her principal place of residence in the State of Alaska;

(2)demonstrates at all times during an absence an intent to return to Alaska and remain a resident of Alaska;

(3)does not claim residency outside the state or obtain beneits or residency in another state or nation.

The administrator’s determination of an applicant’s residency will be based on the totality of relevant circumstances. Intent is demon- strated by establishing and maintaining customary ties indicative of Alaska residency.

AS 39.35.670 (PERS) and AS 14.25.210 (TRS) — A person who knowingly makes a false statement, or falsiies or permits to be falsiied a record of this system, in a attempt to defraud the system, is guilty of a Class A Misdemeanor and upon conviction is punishable by a ine of not more than $500 or by imprisonment for not more than 12 months, or by both.

This form must be certiied by an adult Alaska resident not related to the applicant who can verify the applicant’s Alaska residency.

CERTIFICATION: I certify the above applicant is a resident of Alaska and intends to remain a resident of Alaska. I further certify the applicant resides in the above physical address which is his/her true, ixed permanent home and principal residence. I have irst hand knowledge the applicant’s household goods are maintained in this residence and it is inhabited primarily by the applicant.

Print name of person certifying this form

Telephone Number

Mailing Address

Signature of certiier, witnessed by one of the following: DRB Representative or Division of Personnel Staff

Signature

__________________________________ Title ____________________________ Date

/

/______

 

OR, SIGNATURE WITNESSED BY A NOTARY

 

 

 

 

On this

 

 

day of

 

20 ,

 

personally appeared before me whose identity

 

 

 

 

 

 

 

 

 

 

 

 

 

I proved on the basis of satisfactory evidence to be the signer of the participant's signature above, and he/she acknowledged that he/she executed it.

 

Notary Public ____________________________________________________________

NOTARY SEAL OR

State of _________________________

and Borough/County of __________________

POSTMASTER

 

 

STAMP

Residing at ______________________

Commission Expires ____________________

REQURIED

 

 

GEN020 (Rev. 3/11)

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Your Questions, Answered

  1. What is the purpose of the Alaska Gen020 form?

    The Alaska Gen020 form, also known as the Cost-of-Living Allowance (COLA) Affidavit of Residency, is used by retirees residing in Alaska to certify their residency status. This form is essential for individuals who wish to apply for COLA benefits, which are designed to assist those living in Alaska with the higher cost of living.

  2. Who needs to complete this form?

    This form must be completed by retirees who are residents of Alaska. To qualify as a resident, one must be physically present in the state, maintain a principal place of residence in Alaska, and demonstrate an intent to return if absent.

  3. What information is required on the form?

    The form requires personal details such as the applicant's name, Social Security number (last four digits), physical address, and mailing address. Additionally, a certification section must be filled out by an adult Alaska resident who can verify the applicant’s residency.

  4. Who can certify the form?

    The certification must be completed by an adult resident of Alaska who is not related to the applicant. This individual must have firsthand knowledge of the applicant’s residency and can confirm that the applicant's household goods are maintained at the stated address.

  5. What are the consequences of providing false information?

    Providing false information on the Gen020 form can lead to serious legal consequences. A person who knowingly makes false statements or falsifies records may be guilty of a Class A Misdemeanor. Penalties can include fines up to $500, imprisonment for up to 12 months, or both.

  6. Is a notary public required for certification?

    A notary public is not always required, but the signature of the certifier must be witnessed by a Division of Retirement and Benefits representative or a notary. This adds an additional layer of verification to the residency claim.

  7. How can I submit the completed form?

    The completed Gen020 form can be submitted via mail or fax to the Division of Retirement and Benefits. The mailing address is PO Box 110203, Juneau, Alaska 99811-0203, and the fax number is (907) 465-3086.

  8. Where can I get assistance if I have questions about the form?

    If you have questions regarding the Gen020 form, you can contact the Division of Retirement and Benefits at 465-4460 or toll-free at 1-800-821-2251. They can provide guidance and clarify any uncertainties you may have.

Dos and Don'ts

When filling out the Alaska Gen020 form, there are important dos and don'ts to keep in mind. Following these guidelines will help ensure your application is processed smoothly.

  • Do provide accurate information.
  • Do ensure that the certifier is an adult Alaska resident who is not related to you.
  • Do include your physical address and mailing address clearly.
  • Do sign the form where indicated.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections blank; fill out all required fields.
  • Don't provide false information or allow someone else to do so.
  • Don't forget to have your signature witnessed by an authorized person.
  • Don't submit the form without verifying that all information is correct.
  • Don't ignore the deadline for submission; be timely.

Similar forms

The Alaska Gen020 form is similar to the Affidavit of Support, which is used in immigration processes. This document requires a sponsor to affirm their financial ability to support an immigrant. Like the Gen020, it necessitates the completion of personal information and the certification of residency. Both forms aim to confirm the residency status of individuals, ensuring that the sponsor or certifier is a reliable source of information regarding the applicant's living situation.

Another document comparable to the Alaska Gen020 is the Voter Registration Application. This form serves to establish a person's residency within a specific state for voting purposes. Both documents require proof of residence and often necessitate the signature of a witness or certifier. The intent behind both forms is to verify that individuals are legitimately residing in the state and are eligible for certain rights and benefits.

The Declaration of Domicile also shares similarities with the Alaska Gen020 form. This document is used to officially declare one's primary residence in a particular state. Both forms require the individual to affirm their intent to maintain residency. They serve to protect the rights of the individual by establishing a legal record of their residence, which can be important for various legal and financial matters.

Additionally, the Residency Verification Form is akin to the Alaska Gen020. This form is often used by educational institutions to confirm a student's residency status for tuition purposes. Like the Gen020, it requires the submission of personal details and may need to be certified by a third party. Both documents aim to establish residency to determine eligibility for specific benefits or rates.

The Certification of Residency is another document that resembles the Alaska Gen020 form. This certification is often required for tax purposes, confirming that an individual resides in a particular jurisdiction. Both forms necessitate verification from a third party who can attest to the individual's residency. They serve to ensure that individuals are held accountable for their residency claims, particularly in relation to legal and financial obligations.

Furthermore, the Proof of Residency Form is similar to the Alaska Gen020. This document is typically used in various applications, such as opening bank accounts or obtaining driver's licenses. Both forms require individuals to provide evidence of their physical address and may require a witness's signature to validate the information. They serve to confirm that individuals are residing at the stated address, which is crucial for legal identification and benefits.

For those looking to clarify rental arrangements, the important Room Rental Agreement details provide essential guidelines on the rights and obligations of both landlords and tenants, ensuring a smooth rental experience.

Lastly, the Residency Affidavit is comparable to the Alaska Gen020 form. This document is often used in legal proceedings to establish a person's residency status. Like the Gen020, it requires a declaration of intent to remain in the state and may need to be certified by a third party. Both forms aim to provide a clear and legally binding statement regarding an individual's residency, which can have significant implications for legal rights and responsibilities.

How to Write Alaska Gen020

Filling out the Alaska Gen020 form is an important step for retirees who wish to confirm their residency in Alaska for the Cost-of-Living Allowance (COLA). After completing the form, it will need to be submitted to the appropriate state agency for processing. Follow these steps to ensure that the form is filled out correctly.

  1. Gather necessary information: Collect your full name (first, middle initial, maiden name, last name), Social Security number (last four digits), physical address, and mailing address.
  2. Complete the personal information section: Write your name, Social Security number, and both your physical and mailing addresses in the designated spaces on the form.
  3. Understand residency requirements: Familiarize yourself with the criteria for being considered a resident of Alaska. This includes maintaining your principal place of residence in the state.
  4. Find a certifier: Locate an adult Alaska resident who is not related to you and can verify your residency. This person will need to certify your residency on the form.
  5. Have the certifier complete their section: The certifier should print their name, provide their telephone number, mailing address, and sign the form. They must also indicate how they witnessed your residency.
  6. Choose a witness: The signature of the certifier must be witnessed either by a Division of Retirement and Benefits representative, Division of Personnel staff, or a notary public.
  7. Complete the notary section (if applicable): If a notary public is used, they will fill out their section, including their commission details and seal.
  8. Review the form: Double-check all information for accuracy and completeness before submitting.
  9. Submit the form: Send the completed form to the address provided on the form, ensuring it reaches the appropriate agency.

Documents used along the form

The Alaska Gen020 form, which serves as the Cost-of-Living Allowance (COLA) Affidavit of Residency, is often accompanied by several other important documents. These forms help to establish residency, verify information, and ensure compliance with state regulations. Below is a list of documents commonly used alongside the Gen020 form, along with a brief description of each.

  • Proof of Residency: This document may include utility bills, lease agreements, or bank statements that display the applicant's name and physical address in Alaska. It serves to substantiate the claim of residency.
  • Employment Verification Form: The California Employment Verification form is essential for confirming employment eligibility. For more information, click here for the pdf.
  • Identification Documents: A copy of a government-issued ID, such as a driver's license or passport, is often required. This helps to confirm the identity of the applicant and their residency status.
  • Tax Returns: Recent state and federal tax returns can provide evidence of residency. They show that the applicant has been filing taxes in Alaska, which supports their claim of being a resident.
  • Employment Verification: A letter from an employer or pay stubs can be submitted to demonstrate that the applicant is employed in Alaska. This reinforces the connection to the state.
  • Affidavit of Support: This document may be required if the applicant is living with someone else. It serves as a sworn statement from the person providing housing, affirming that the applicant resides at their address.
  • School Enrollment Records: For applicants with children, documents showing enrollment in local schools can help establish residency. This indicates a commitment to living in Alaska.
  • Vehicle Registration: Proof of vehicle registration in Alaska can further validate residency. It shows that the applicant has registered their vehicle in the state.
  • Voter Registration: A copy of the applicant's voter registration can also support their residency claim. It demonstrates their intention to participate in local governance.

Each of these documents plays a vital role in the residency verification process. Together with the Alaska Gen020 form, they help to create a comprehensive picture of the applicant's ties to the state. Ensuring that all necessary documentation is complete and accurate can facilitate a smoother application process for the Cost-of-Living Allowance.

Misconceptions

  • COLA is only for Alaskan natives. Many people believe that only those who are native to Alaska can apply for the Cost-of-Living Allowance (COLA). In reality, any retiree who resides in Alaska can apply, provided they meet the residency requirements.
  • You can apply for COLA if you live outside Alaska. Some individuals think that they can still qualify for COLA while living in another state. However, the form clearly states that applicants must be physically present and domiciled in Alaska.
  • Residency is determined solely by the length of time spent in Alaska. While time spent in the state is a factor, residency is determined by various circumstances, including the intent to return and maintain ties to Alaska.
  • Falsifying information on the form is a minor issue. Many underestimate the seriousness of providing false information. Making a false statement can lead to significant legal consequences, including a Class A misdemeanor charge.
  • Any adult can certify the form. Some may think that any adult can verify residency. However, the certifier must be an adult Alaska resident who is not related to the applicant.
  • You don’t need to provide a physical address. Applicants may believe that a mailing address is sufficient. The form requires a physical address to establish residency.
  • Once you submit the form, you will automatically receive COLA. Submission of the form does not guarantee approval. The administrator will review the application based on various factors before making a determination.
  • COLA is the same for everyone. Some may think that all applicants receive the same amount. In fact, the allowance can vary based on individual circumstances and the administrator's assessment.
  • Certification is a mere formality. While it may seem like a simple step, certification is crucial. It verifies the applicant's residency and intent to remain in Alaska, which is essential for the approval process.
  • Notary services are optional. Some applicants might believe that notarization is not necessary. In truth, the form requires that the signature be witnessed by either a DRB representative or a notary to ensure its validity.

Common mistakes

  1. Failing to provide complete and accurate personal information. Ensure that the name, Social Security number, and addresses are filled out correctly.

  2. Not understanding the definition of residency. Applicants must demonstrate they are physically present and have the intent to remain in Alaska.

  3. Omitting the certification section. This part must be completed by an adult Alaska resident who is not related to the applicant.

  4. Providing a signature that is not witnessed. The form must be signed by a representative or a notary to validate the information.

  5. Neglecting to include the mailing address. This address is crucial for communication regarding the application.

  6. Not keeping a copy of the completed form. It is important to retain a copy for personal records and future reference.

  7. Submitting the form after the deadline. Ensure that the application is sent in on time to avoid delays in processing.