Although you were working during the week of February 1, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.

1 [ ] Yes Year retired: ___ ___ ___ ___
2 [ ] No

Although you were working during the week of February 1, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.

1 [ ] Yes Year retired: ___ ___ ___ ___
2 [ ] No

Although you were working during the week of October 1, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.

1 [ ] Yes

2 [ ] No

(If 35 or more hours) Although you were working during the week of April 15, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement

1 [ ] Yes (Year retired 19 __ __)
2 [ ] No

(IF FEWER THAN 35 HOURS) During the week of April 15, did you want to work a full-time work week of 35 or more hours?

1 [ ] Yes
2 [ ] No

(IF 35 OR MORE HOURS) Although you were working during the week of April 15, had you previously RETIRED from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement

1 [ ] Yes, Year Retired: 19___ ___
2 [ ] No

Although you were working during the week of October 1, had you previously retired from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement.

1 [ ] Yes

2 [ ] No

(IF 35 OR MORE HOURS) Although you were working during the week of April 15, had you previously RETIRED from any position?
Examples of retirement include mandatory retirement, early retirement, or voluntary retirement

1 [ ] Yes, Year Retired: 19___ ___
2 [ ] No

1 [ ] Yes Y 19 |___|___| YEAR
2 [ ] No

1 [ ] Yes 19 |__|__| YEAR
2 [ ] No