
Clear STATE OF CALIFORNIA Print LIFE INSURANCE ENROLLMENT STD. 698 (REV. 3-97) PLEASE TYPE OR USE BALL POINT PEN, PRINT CLEARLY-SEND COMPLETED FORM TO PERSONNEL/PAYROLL OFFICE SECTION A 1. TYPE OF.
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How to fill out the STD 698 - State Of California - Calstate online
The STD 698 form is essential for employees of the State of California to enroll in, change, or cancel their life insurance plans. This guide will provide you with clear, step-by-step instructions to help you easily complete the form online.
Follow the steps to complete the STD 698 form effectively
- Click ‘Get Form’ button to obtain the STD 698 form and open it in the editor for completion.
- In Section A, indicate the type of action you are taking by checking one of the boxes: 'New' for initial enrollment, 'Cancel' for cancellation, or 'Change' for altering an existing plan. Complete the necessary sections corresponding to your choice.
- Fill in your full name in Section A, using the provided fields for your first name, middle name, and last name.
- Provide your date of birth by entering the month, day, and year in the respective fields in Section A.
- Indicate your marital status by checking 'Married' or 'Single' in Section A, and specify your sex by checking the appropriate box.
- Enter your mailing address in Section A, including your street number and name, city, county, state, and ZIP code. Note that this section should not be completed if you checked the cancel box earlier.
- In Section B, identify the name of the life insurance plan you wish to enroll in or change.
- Section C is for indicating the name of the life insurance plan being cancelled or changed, if applicable.
- In Section D, check the appropriate box to confirm your preferences regarding the life insurance plan enrollment, change, or cancellation, and authorize any necessary deductions from your salary.
- Sign and date the form in Section D to complete the submission process.
- After reviewing your entries for accuracy, proceed to save changes, download, print, or share the completed form as required.
Complete your STD 698 form online today to ensure your life insurance needs are properly addressed.
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