North Carolina Total Retirement Plans Form 703
This file provides essential information and instructions for filling out the North Carolina Total Retirement Plans Form 703 related to short-term disability benefits. Users must report any earnings while receiving these benefits each month. It is crucial for maintaining eligibility for benefits.
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How do I fill this out?
To fill out this form, begin by entering your personal details in Section A. Next, report any earnings from the previous calendar month in Section C. Finally, review, sign, and submit the completed form to your employer for processing.

How to fill out the North Carolina Total Retirement Plans Form 703?
1
Enter your personal information in Section A.
2
Report any earnings for the previous month in Section C.
3
Include relevant documentation like pay stubs if applicable.
4
Have your medical professional fill out the necessary sections.
5
Sign and submit the form to your employer.
Who needs the North Carolina Total Retirement Plans Form 703?
1
Employees receiving short-term disability benefits must report earnings.
2
Employers that need to verify employee earnings for benefit calculations.
3
Medical professionals assisting patients with disability claims.
4
HR departments managing employee benefits and payroll.
5
Retirement system administrators reviewing claims for eligibility.
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What are the instructions for submitting this form?
To submit this form, send it to your employer via email or fax. You can also deliver it physically to ensure immediate processing. For further assistance, contact the North Carolina Retirement Systems Division at 1-877-NCSECURE.
What are the important dates for this form in 2024 and 2025?
Key dates for the submission of Form 703 in 2024 and 2025 include the 1st business day of each month, starting from January 1st. Ensure timely submission to maintain benefit eligibility. Check the calendar for specific details on business days.

What is the purpose of this form?
The purpose of this form is to facilitate the reporting of earnings by individuals receiving short-term disability benefits in North Carolina. Accurate reporting ensures that benefits are calculated correctly based on the individual's current financial situation. Additionally, this form helps maintain compliance with the regulations set by the Retirement Systems Division.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Fields for first name, last name, mailing address, and contact information.
- 2. Report of Earnings: Section to indicate earnings received in the previous month and supporting details.
- 3. Medical Professional Information: Details about the medical professional assisting with the disability claim.
- 4. Disability Details: Information required from the medical professional about the patient's condition.
- 5. Employer Information: Field for employer details who will receive the completed form.
What happens if I fail to submit this form?
Failure to submit this form on time may result in a delay or denial of your short-term disability benefits. It is crucial to adhere to the monthly submission deadlines to maintain your eligibility. Additionally, an incomplete application can lead to complications in benefit calculations.
- Benefit Delays: Not submitting on time can hold up your benefit payments.
- Ineligibility Risks: Late submissions may result in losing potential benefits.
- Inaccurate Benefit Calculation: Failure to report earnings can lead to incorrect calculations of your benefits.
How do I know when to use this form?

- 1. Monthly Earnings Reporting: To report earnings from self-employment or other income sources during disability.
- 2. Eligibility Verification: When medical professionals fill out their portions to verify your claim.
- 3. Employer Submission: Providing your employer with the necessary information for payroll processing.
Frequently Asked Questions
How do I fill out Form 703?
You can fill out Form 703 by entering your information in the provided sections and following the instructions for reporting earnings.
Can I edit this PDF online?
Yes, PrintFriendly offers an easy-to-use editor where you can make changes directly to the PDF.
What do I do if I have no earnings this month?
Even if you have no earnings, you must still submit the form indicating that you had no earnings.
How can I submit this form?
You can submit the completed form to your employer via email, fax, or in person.
Is there a deadline for submitting this form?
The form is due on the 1st business day of each calendar month.
Will my benefits be affected if I report earnings?
Yes, the amount of your disability benefits may change based on reported earnings.
Who can assist in filling out this form?
Your employer and medical professionals can help you accurately complete the form.
What should I attach to the form?
You should attach copies of pay stubs or earning statements signed by your employer if you received compensation.
Can I save this PDF after editing?
Currently, you can edit and download the PDF but saving directly on the site is not available.
Where can I find more information about the Retirement Systems?
For more information, visit the North Carolina Retirement System's official website.