Get 9058 Fillable Form

Filling out the 9058 Fillable Form online can be a straightforward process if you follow the correct steps. This guide provides detailed instructions to help you navigate each section and field of the form effectively.

Follow the steps to complete the 9058 Fillable Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your browser.
2. Review the introductory information on the form. This will include details about membership and contribution options, as well as privacy notices.
3. Complete Section 1 or 2 based on your membership status. If you are a new or transferred employee, ensure to fill the appropriate fields.
4. Input your name in the designated field (first, last, and middle initial) to provide clear identification.
5. Enter the number of hours you wish to contribute in the relevant field.
6. Include your Social Security Number only in the specified field. This is essential for record-keeping purposes.
7. If applicable, check the box indicating that the contribution comes from your restored forfeited annual leave account.
8. Fill in your office symbol to indicate your department or office affiliation.
9. Sign and date the form in the designated sections to certify the information provided.
10. For designating a leave contribution to an approved leave recipient, complete Section 3. Enter the recipient's details, including their name and relationship if they are a family member.
11. Decide whether you would like the recipient to know your name and circle your preference.
12. Review all the completed sections for accuracy, ensuring that no fields are left blank.
13. Once you have finished filling out the form, save your changes, and then download, print, or share the completed form as necessary.

Get started on completing your 9058 Fillable Form online now!