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Alaska's unique geographical and economic conditions mean that residents often face higher living costs than those in other states. Acknowledging this, the Alaska Cost-of-Living Allowance (COLA) affidavit of Residency, formally known as the Alaska Gen020 form, plays a pivotal role for retirees who choose to make the state their home during their retirement years. This crucial document is designed with the retiree's financial welfare in mind, providing a means to verify their residency within Alaska—a prerequisite for receiving the COLA benefit. Through stringent criteria, the form ensures that only those genuinely domiciled and physically present in Alaska can benefit, thereby maintaining the integrity and intended purpose of the state's retirement and benefits system. Applicants are required to demonstrate their residency through various means, emphasizing the importance of establishing Alaska as their principal place of residence. Furthermore, the form includes serious admonitions against fraudulent claims, underscoring the legal obligations and potential repercussions for those attempting to deceive the system. Verification by a trusted adult Alaska resident further attests to the applicant's genuine intent to remain within the state, cementing their ties and commitment to Alaska as their permanent home. This comprehensive approach not only supports retirees financially but also reinforces the sense of community and belonging among Alaska's residents.

Document Example

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)

g:/publications/forms/general/gen020.indd

Document Specifics

Fact Detail
Purpose of the Form To certify residency in the State of Alaska for the purpose of receiving a Cost-of-Living Allowance (COLA).
Governing Laws for Qualification 2 AAC 36.210 (TRS) and 2 AAC 35.240 (PERS) for residency; AS 39.35.670 (PERS) and AS 14.25.210 (TRS) for penalties related to fraudulent claims.
Definition of Residency Defined as being domiciled and physically present in Alaska, with the intent to return and remain a resident.
Requirements to Demonstrate Residency Maintaining a principal place of residence in Alaska, not claiming residency or obtaining benefits in another state, and demonstrating an intent to remain in Alaska.
Penalties for False Statements Making a false statement or falsifying records in an attempt to defraud the system is a Class A Misdemeanor, punishable by a fine of not more than $500 or imprisonment for not more than 12 months, or both.
Certification Process Must be certified by an adult Alaska resident not related to the applicant who can verify the applicant's Alaska residency, witnessed by a DRB Representative, Division of Personnel Staff, or a notary.

Instructions on How to Fill Out Alaska Gen020

The Alaska Cost-of-Living Allowance (COLA) Affidavit of Residency is a critical document for retirees who wish to claim their COLA benefits while residing in Alaska. Completing the form correctly is essential for ensuring the process is smooth and your eligibility is accurately assessed. This document is designed to affirm your residency and intentions to remain within the state, a requirement for receiving the COLA benefits. It is important that all information provided is truthful and accurate, as false statements can result in significant penalties.

  1. At the top of the form, clearly print the retiree's full name, including first name, middle initial, any maiden names, and last name.
  2. Enter the last four digits of the retiree's Social Security Number in the designated space.
  3. Fill out the Physical Address section with the current street address, city, and state where the retiree resides. This address must reflect the retiree's principal place of residence within Alaska.
  4. Next, provide the Mailing Address, which may be the same as the physical address or a different location where the retiree receives mail. Include the city, state, and ZIP+4.
  5. Ensure the form includes a statement detailing the retiree's residency status, emphasizing the retiree's domicile and physical presence in the state. This section is typically prefilled but should be reviewed for accuracy.
  6. The Certification section at the bottom of the form should be filled out by an adult Alaska resident who is not related to the applicant but can attest to the applicant's Alaska residency. The certifier must print their name, provide their telephone number, and fill in their mailing address.
  7. The certifier must then sign the form in the presence of either a Division of Retirement and Benefits (DRB) representative, a Division of Personnel Staff member, or a notary public. The certifier's signature must be witnessed and attested to by one of the aforementioned officials.
  8. If the certification is witnessed by a notary public, ensure the notary completes their section of the form, including affixing their official seal, indicating the state and borough/county of their registration, their residence address, and the expiration of their commission.

After completing these steps, review the form to ensure all information is accurate and all sections are appropriately filled out. The final step involves submitting the form to the address provided at the top of the document, ensuring it reaches the Division of Retirement and Benefits for processing. It's advisable to retain a copy for your personal records. Following submission, the determination of the applicant's residency will be based on the totality of relevant circumstances, according to the criteria laid out in Alaska statutes.

What You Should Know About This Form

What is the Alaska GEN020 form?

The Alaska GEN020 form, also known as the Cost-of-Living Allowance (COLA) Affidavit of Residency, is a document used by the Division of Retirement and Benefits. It serves to verify the residency of Alaska retirees who are applying for COLA benefits. This affidavit ensures that the applicant meets the residency requirements set by the state to qualify for these benefits.

Who needs to complete the Alaska GEN020 form?

Retirees living in Alaska who wish to apply for or continue receiving the Cost-of-Living Allowance (COLA) benefits must complete the GEN020 form. This document substantiates their physical presence and domicile in the state, aligning with the specific eligibility criteria for COLA.

What are the residency requirements for the COLA as outlined in the GEN020 form?

The GEN020 form stipulates that a person must be domiciled in Alaska, meaning they maintain their principal place of residence in the state. Eligibility hinges on the individual demonstrating an intent to return to Alaska during any absence and maintaining that they do not claim residency or receive benefits from another state or nation. Establishing and maintaining customary ties indicative of Alaska residency is critical for demonstrating intent.

How does one demonstrate intent to remain a resident of Alaska for COLA eligibility?

Demonstrating an intent to remain a resident of Alaska involves establishing and maintaining customary ties to the state. This could include possessing an Alaska driver's license, owning property or paying rent in the state, voter registration, and other behaviors that signal Alaska as the person's principal place of residence and where they intend to return after any absence.

What constitutes a false statement on the GEN020 form?

Providing inaccurate information or deliberately falsifying records on the GEN020 form in an attempt to defraud the Alaska retirement system is considered making a false statement. This is a serious offense, classified as a Class A Misdemeanor, and upon conviction, individuals may face penalties, including fines up to $500 and/or imprisonment for up to 12 months.

Who can certify the GEN020 form?

The form must be certified by an adult Alaska resident who is not related to the applicant. This person must be able to verify the applicant's residency in Alaska and attest to the applicant's intent to remain in the state. The certifier confirms the applicant's residential address, that it is their fixed, permanent home, and provides their own contact information for verification.

How is the GEN020 form certified?

Certification of the GEN020 form can be done by a representative of the Division of Retirement and Benefits, Division of Personnel Staff, or by a notary public. The certifier must witness the signature of the person applying for COLA benefits and attest to their residency and intent to remain in Alaska.

What are the penalties for making a false statement on the GEN020 form?

Making a false statement or falsifying records on the GEN020 form is a Class A Misdemeanor. Individuals found guilty of such actions are subject to a fine of not more than $500, imprisonment for not more than 12 months, or both. This demonstrates the importance of providing accurate and truthful information when completing this affidavit.

Where can I find the GEN020 form?

The GEN020 form is available through the Alaska Division of Retirement and Benefits. Individuals can access it on their official website or directly contact the Division for a copy. Additionally, some retirement planning resources and Alaska state offices may provide access to this form.

Is there assistance available for completing the GEN020 form?

Yes, assistance for completing the GEN020 form is available. Retirees can reach out to the Alaska Division of Retirement and Benefits for guidance. Additionally, legal advisors or advocates specializing in retirement and benefits may offer support in ensuring that all information is accurately and thoroughly provided.

Common mistakes

    When filling out the Alaska GEN020 form, which is essential for retirees seeking the Cost-of-Living Allowance (COLA), people often make mistakes that can impact their application. Here's a list of common errors to avoid:

  1. Not correctly filling out the name section: Make sure to include your first name, middle initial, maiden name (if applicable), and last name. It's easy to skip a section or not use the name that matches your official documents.

  2. Failing to provide the last four digits of the Social Security Number (SSN): This is a crucial identifier, and leaving it blank or entering it incorrectly can delay processing.

  3. Incorrect physical address: The form requires both your physical and mailing addresses. Ensure that your physical address matches where you actually live. Remember, P.O. boxes aren't accepted for physical addresses.

  4. Mixing up the mailing and physical addresses: Your mailing address might be different from where you live, especially in rural areas. Double-check to ensure each address is correctly placed in its specific section.

  5. Overlooking the certification requirement: Your application needs certification by an unrelated adult Alaska resident. It’s easy to miss that this person must fill out their section, including their print name, phone number, mailing address, and signature.

  6. Not having the certifier’s signature witnessed correctly: The witness can be a DRB representative, Division of Personnel staff, or a notary. Skipping this step or not following the specific witnessing instructions can invalidate the form.

  7. Forgetting to check for the certifier's firsthand knowledge acknowledgement: The certifier must confirm they have firsthand knowledge of your residence and intentions to remain in Alaska. This statement is crucial for proving your residency.

  8. Making false statements: Intentionally providing false information is a serious offense. It's essential to ensure all the information is accurate and truthful to avoid legal consequences.

Each of these mistakes can delay your COLA application or even result in its denial. Taking the time to review and accurately complete the form can help ensure you receive your entitlements without unnecessary complications.

Documents used along the form

When handling the Alaska Cost-of-Living Allowance (COLA) Affidavit of Residency, there are several other forms and documents that are often used in conjunction. These documents are essential for verifying residency, clarifying legal standing, and ensuring that applicants meet all necessary criteria for the receipt of benefits. Understanding these documents and their requirements can streamline the process and help applicants ensure they are fully compliant with Alaska's regulations.

  • Proof of Identity Document: This can include a driver’s license, passport, or state-issued identification card. It validates the identity of the person applying for the COLA.
  • Permanent Fund Dividend (PFD) Application: This document is evidence of residence in Alaska, as it shows the applicant's participation in the state’s annual sharing of oil revenue.
  • Utility Bills: Utility bills serve as proof of the physical address and continuous residence in the state, supporting the residency claim.
  • Alaska Voter Registration: Being registered to vote in Alaska elections can support a claim of intent to remain in the state and establish residency.
  • Lease Agreement or Mortgage Documents: These documents are evidence of a permanent residence in Alaska, indicating the applicant's settled intention to maintain a principal home in the state.
  • Employment Verification: A document from an employer verifying the applicant's employment in Alaska can further substantiate one's claim to residency.
  • Alaska Vehicle Registration: If the applicant has a vehicle registered in Alaska, this document can support their claim of residency and domicile in the state.
  • Tax Documents: State and federal tax returns, especially those showing an Alaskan address, can help prove fiscal residency within the state.
  • Education Records: For those who are students or have dependents in school, registration records can support a residency claim through established physical presence.
  • Bank Statements: Recent bank statements with an Alaskan address can indicate a consistent presence in the state and financial ties to Alaska.

Together, these documents work in concert with the Alaska Gen020 form to paint a comprehensive picture of an applicant's ties to the state. By carefully preparing and presenting these forms and documents, individuals can effectively demonstrate their residency and eligibility for the Alaska Cost-of-Living Allowance, ensuring they receive all the benefits to which they are entitled under state law.

Similar forms

The Alaska Gen020 form, a Cost-of-Living Allowance (COLA) Affidavit of Residency, shares similarities with the Homestead Declaration form. Both are designed to establish residency in a specific location for financial benefits—COLA in Alaska for the former and property tax exemptions or reductions in some states for the latter. They require the claimant to attest to their residency and intent to maintain it as their principal place of residence. Verification by a third party or authority is also common to both, ensuring the applicant's statements are truthful and accurate.

Similar to a Voter Registration application, the Gen020 form requires proof of residency and intent to remain in the location. Voter Registration applications also ensure the individual does not claim residency or voting rights in another state, mirroring the Gen020’s stipulation against claiming benefits or residency elsewhere. Both documents are integral to confirming an individual's status in a specified geographical area and maintaining the integrity of state-specific rights and privileges.

The Alaska Gen020 form and the State Tax Residency Affidavit have overlapping objectives—establishing one's primary and permanent residence for state-specific benefits or tax purposes. State Tax Residency Affidavits are used to prove a taxpayer's state of residency to qualify for state tax rates or exemptions, requiring similar declarations about intent to remain and physical presence, as well as not claiming residency in another state for benefits.

Employment Eligibility Verification forms (I-9) share the requirement of establishing identity and eligibility to work, akin to how the Gen020 form establishes residency for COLA purposes. Although serving different ends—one for employment authorization in the U.S. and the other for state retirement benefits—the process of verifying an individual’s claims through documents and attestations is a commonality. Both forms contribute to verifying the legitimacy of an individual's claims for specific rights or benefits.

The Jury Duty Affidavit form, like the Gen020, requires the individual to declare their residency in a particular judicial district or state. This document ensures that the juror pool consists of actually residing individuals within the jurisdiction, similar to how the Gen020 confirms residency for COLA benefits in Alaska. Proof of residency and the intent to remain are critical components in both documents, safeguarding the proper administration of justice and state benefits respectively.

Driver’s License application forms in many states necessitate proof of residency, mirroring the Gen020’s requirement for COLA benefits. Applicants must provide evidence that they live within the state and intend to stay, using various documents to substantiate their claim. The goal is to ensure that state-issued licenses and IDs are granted to residents, aligning with the Gen020’s objective to verify eligibility for state-specific benefits based on residency.

The Public Assistance or Welfare Application forms, like the Alaska Gen020, necessitate applicants to provide proof of residency within the state to qualify for benefits. Both types of documents require the claimant to declare their physical presence and intent to maintain residence in the state as a condition of receiving benefits. Verification from a non-related adult or an official figure is often needed to confirm the accuracy of the applicant's information, ensuring the integrity of the process.

Dos and Don'ts

When filling out the Alaska GEN020 form, it’s important to approach the task with attention to detail and an understanding of what is expected. This document plays a crucial role in confirming your eligibility for the Cost-of-Living Allowance (COLA) as a resident of Alaska. To help ensure that your form is completed accurately and efficiently, here is a list of dos and don'ts to guide you through the process.

Things You Should Do:

  1. Review the entire form before starting to understand what information and documentation are required.
  2. Use black or blue ink to ensure clarity and legibility. This makes your form easier to read and process.
  3. Refer to official documents to confirm the accuracy of the information you provide, such as your residence address and social security number.
  4. Provide evidence of your residency and intent to remain in Alaska, which could include voter registration, property ownership, or utility bills in your name.
  5. Ensure that the certifier is an adult Alaska resident who is not related to you and can vouch for your residency with firsthand knowledge.
  6. Double-check all the details for accuracy before signing the form to prevent any errors or discrepancies.
  7. Make a copy of the completed form for your records before submission. Keeping a record can be helpful in case of any future queries.
  8. Contact the Division of Retirement and Benefits directly if you have any questions or need clarification on the form requirements.
  9. Submit the form before the deadline, if applicable, to ensure your COLA is processed in a timely manner.
  10. Use the correct address and postage when mailing your form to avoid delays in processing time.

Things You Shouldn't Do:

  • Don't rush through the form without reading each section carefully. Misinterpretation can lead to errors.
  • Don't use a pencil or colors other than black or blue ink, as this may lead to your form being rejected.
  • Don't guess on any information. If you are unsure, verify the facts before entering them on the form.
  • Don't leave any required fields blank. If a section does not apply, indicate this appropriately with a “N/A” (not applicable).
  • Don't forget to have the certifier’s signature witnessed by an appropriate official, such as a Notary Public or a Division of Retirement and Benefits representative.
  • Don't ignore the need for evidence supporting your residency and intent to remain in Alaska—this is crucial for your application.
  • Don't submit the form without reviewing it for mistakes. Take a moment to proofread everything.
  • Don't overlook the importance of making a copy of the form and any supporting documents for your personal records.
  • Don't hesitate to ask for help or clarification from the Division of Retirement and Benefits if needed.
  • Don't mail the form without proper postage or to the wrong address, as it could lead to unnecessary delays.

By following these guidelines, you can accurately complete and submit your Alaska GEN020 form, thereby ensuring a smoother process in establishing your eligibility for the Cost-of-Living Allowance.

Misconceptions

Understanding the Alaska Gen020 form and the Cost-of-Living Allowance (COLA) Affidavit of Residency involves clearing up some common misconceptions. Here are nine of the most common misunderstandings:

  1. It’s only for retirees: While the COLA is indeed for retirees, it specifically aims to support those who have chosen to reside in Alaska after retirement, acknowledging the state's higher cost of living.

  2. Residency is determined solely by physical presence: The form clarifies that residency is about being domiciled and physically present. This means maintaining a principal place of residence in Alaska and demonstrating the intent to remain an Alaskan resident, even during absences.

  3. Short absences disqualify applicants: The regulations allow for absences from the state, provided the applicant maintains the intent to return and remains an Alaskan resident at heart, without claiming residency or receiving benefits from another state or nation.

  4. Any adult Alaskan resident can certify your residency: The certifying individual must not be related to the applicant but must have firsthand knowledge of the applicant's Alaska residency and intent to remain in the state.

  5. You can’t be prosecuted for false information: Submitting false information on the Gen020 form is a serious matter. It’s classified as a Class A Misdemeanor that can lead to fines, imprisonment, or both.

  6. The certification process is complicated: Though the process involves several checks, it essentially requires an adult resident, who knows the applicant well and is not related to them, to certify their residency. This process is designed to ensure the accuracy and truthfulness of the applicant’s residency status.

  7. Any Alaskan address is sufficient: The form specifies that the applicant’s physical address must be their true, fixed permanent home and principal residence, not just any address within Alaska.

  8. You need to renew the affidavit annually: The actual requirements for recertification aren’t detailed in the form provided, suggesting that a one-time submission may suffice unless circumstances change that could affect residency status.

  9. It's enough just to sign the form yourself: The form must be signed not only by the applicant but also certified by a qualified Alaska resident or notarized, ensuring that there's reliable testimony to the applicant's residency claim.

Clearing up these misconceptions ensures that applicants understand the importance of the Alaska Gen020 form and the seriousness with which the state handles the Cost-of-Living Allowance (COLA) Affidavit of Residency. It is crucial for both retirees and those certifying their claims to be truthful and precise to maintain the integrity of the process.

Key takeaways

  • The Alaska Cost-of-Living Allowance (COLA) Affidavit of Residency form is specifically designed for retirees who are residing in the State of Alaska to claim their benefits.
  • Residency, as defined for the purpose of COLA, requires the individual to be domiciled and physically present in the state. This underscores the importance of both legal domicile and actual physical presence.
  • To be considered a resident under the regulations (2 AAC 36.210 for TRS and 2 AAC 35.240 for PERS), an individual must maintain their principal place of residence in Alaska, show intent to return if absent, and not claim residency or benefits in another state or nation.
  • An individual’s intent to remain an Alaska resident is demonstrated through establishing and maintaining customary ties to the state, which are indicative of Alaska residency.
  • Committing fraud on the COLA Affidavit of Residency form, such as making false statements or falsifying records, is a serious offense. It is classified as a Class A Misdemeanor, punishable by a fine of up to $500, imprisonment for up to 12 months, or both.
  • The form must be certified by an adult Alaska resident who is not related to the applicant. This certifier must be able to attest to the applicant's residency in Alaska and their intent to remain in the state.
  • The certifier must confirm that the physical address provided is the applicant's true, fixed permanent home and principal residence, indicating the level of detail and verification required for the process.
  • Certification involves verifying firsthand knowledge of the applicant's living situation, including that their household goods are maintained at the said residence and that it is primarily inhabited by the applicant.
  • The form can be authenticated either by a Division of Retirement and Benefits (DRB) Representative, Division of Personnel Staff, or a notary public, offering flexibility in the certification process.
  • For the form to be properly processed and recognized, it must include the certification section filled out by the certifier, including their printed name, telephone number, mailing address, and signature. If a notary public is used, the form should also bear the notary seal or state and borough/county postmaster stamp along with the commission expiration date.
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