Get Pisgs Ohio Form

Filling out the Pisgs Ohio Form online can seem daunting at first, but this guide will walk you through each step to ensure your form is completed accurately and efficiently. Follow these instructions to facilitate a smooth submission process.

Follow the steps to successfully complete the Pisgs Ohio Form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the licensee information in the designated fields, including the company name, licensee file number, and trade name.
3. Fill in the address details: physical address, city, state, and zip code of the company, along with the daytime phone number and fax number.
4. Provide the terminated employee's social security number and name exactly as it appears on their identification card.
5. Input the hire date and termination date as recorded in the employer’s payroll records. Use the MM/DD/YY format for these fields.
6. Indicate the I.D. card status for the terminated employee by selecting one of the provided options: pending, returned to ODPS, or no card received.
7. Once you have filled out all sections accurately, affirm the completeness and accuracy of the information by printing the qualifying agent's name and providing their signature.
8. Finally, save your changes, and consider downloading or printing the completed form to retain a copy for your records before mailing it, along with wallet cards, to the specified address.

Complete your Pisgs Ohio Form online today for a seamless filing experience.