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Get Or Form 5252or 2017-2026
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How to use or fill out the OR Form 5252OR online
The OR Form 5252OR is used for the termination of medical and dental coverage for employees and their dependents. This comprehensive guide will assist you in accurately completing the form online with clear instructions for each section.
Follow the steps to complete the OR Form 5252OR online effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill out Section 1 – Group Information by entering the group number and group name.
- Proceed to Section 2 – Employee and Dependent Termination Information. For each employee or dependent being terminated, provide their name, date of birth, reason for termination, last date of coverage, and check the appropriate box for the coverage to be terminated (Medical or Dental). Ensure to repeat this for each individual as necessary.
- In Section 3 – Authorized Signature, have the Authorized Group Contact sign and date the form. Additionally, include their printed name clearly.
- Review the completed form to ensure all sections are filled out accurately and legibly. Ensure that no information is left incomplete.
- Once the form is complete, you can save your changes, download the document, print it, or share it as required.
Complete your OR Form 5252OR online today!
Filing a 10IEA involves carefully preparing the required documentation and understanding the specific regulations that apply. You can file it through the CRA's online services, making sure to include all pertinent information. To help navigate this process effectively, having the OR Form 5252OR available can be beneficial, and services like uslegalforms can offer tailored support.
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