Get Pha 0203 Plan A Personal History - Persla

Filling out the PHA 0203 PLAN A PERSONAL HISTORY - Persla form online is a straightforward process that requires careful attention to detail. This guide will lead you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to complete the PHA 0203 form.

1. To begin, click the ‘Get Form’ button to obtain the document and open it in the form editor.
2. In the first section, please print your full name, including your first name, middle or maiden name, and last name. Ensure all names are spelled correctly.
3. Next, fill in your current address, including the number, street or P.O. box number, city, state, and zip code.
4. Specify your sex by checking the appropriate box; options are male or female.
5. Indicate your marital status by checking the correct option, either single or married.
6. Enter your date of birth in the format of month, day, and year. Provide your employee's Social Security number in the designated field.
7. If you are over the age of 55 at the time of employment, ensure to attach the election form for new employees aged 55 or older.
8. In the designation of primary beneficiary section, enter the name, address, Social Security number, date of birth, and relationship to you of your primary beneficiary.
9. If applicable, provide the secondary beneficiary's name, relationship to you, Social Security number, and date of birth.
10. Fill in the date of membership, the date of hire, and your job title. Specify the name of the employing parish or agency.
11. Finally, sign and date the form in the spaces provided, and ensure that an authorized parish or agency representative also signs and dates the form.
12. Once all sections are completed, you can save changes, download the form, print it, or share it as needed.

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