Do I need a notary for the government service credit verification form?

No. This form has no notary block. The applicant signs and dates their section, and a governmental-unit official verifies and signs the official section.

How do I submit the government service credit verification form?

Complete the applicant section and forward the form to the governmental unit where you worked. After completing its section, the unit returns it to the Kalamazoo County Human Resources Department at the address printed on the form.

What service does this form verify?

It verifies previous or current Michigan governmental service for members of the Kalamazoo County Employee’s Retirement System who meet the Reciprocal Retirement Act criteria. The service credit applies for vesting purposes only.

What information does the governmental unit provide?

The official records the governmental unit’s name, beginning and ending dates, total service in years and months, pension-benefit and participation information, and the official’s verification and contact details.

Kalamazoo County, MI · Kalamazoo County

No notary required

Verification for Crediting of Other Governmental Service Under Act 88

Kalamazoo County employees use this form to verify prior or current Michigan governmental service for retirement vesting credit under the Reciprocal Retirement Act.

At a glance

Issued by: City of Kalamazoo County · Kalamazoo County, Kalamazoo County, Michigan
Notarization: Not required: file this form without a notary.
Official source: kalcounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form verifies previous or current Michigan governmental service for Kalamazoo County Employee’s Retirement System members who meet the Reciprocal Retirement Act criteria. The service credit applies for vesting purposes only. The applicant provides personal information and approximate employment dates, then the former governmental unit records service dates, service length, and pension and participation details before verifying the information.

Who needs it

Kalamazoo County Employee’s Retirement System members seeking vesting credit for previous or current Michigan governmental service need this form completed by their former governmental unit.

How to submit it

After completing the applicant section, forward the form to the governmental unit where you worked. That unit completes it and returns it to the Human Resources Department at 201 West Kalamazoo Avenue, Room 407, Kalamazoo, MI 49007.

About notarization

This form is signed and dated without a notary; the applicant and governmental-unit official sign their respective sections.

How to submit this form

1
Download the Form
Download the Reciprocal Retirement Act service verification form.
2
Complete Your Section
Enter your identifying information and approximate employment dates, then sign and date your section.
3
Forward to Your Former Governmental Unit
Send the form to the Michigan governmental unit where you worked so an official can complete the verification section.
4
Return the Completed Form
The governmental unit returns the completed form to the Kalamazoo County Human Resources Department at the address printed on the form.

Frequently asked questions

Do I need a notary for the government service credit verification form?: No. This form has no notary block. The applicant signs and dates their section, and a governmental-unit official verifies and signs the official section.
How do I submit the government service credit verification form?: Complete the applicant section and forward the form to the governmental unit where you worked. After completing its section, the unit returns it to the Kalamazoo County Human Resources Department at the address printed on the form.
What service does this form verify?: It verifies previous or current Michigan governmental service for members of the Kalamazoo County Employee’s Retirement System who meet the Reciprocal Retirement Act criteria. The service credit applies for vesting purposes only.
What information does the governmental unit provide?: The official records the governmental unit’s name, beginning and ending dates, total service in years and months, pension-benefit and participation information, and the official’s verification and contact details.

Need something notarized?

This Verification for Crediting of Other Governmental Service Under Act 88 doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.