Get Get Hard Copy Of Pebb Mid Year Change Forms

This guide provides a clear and detailed approach to completing the Get Hard Copy Of Pebb Mid Year Change Forms online. By following these steps, users can efficiently fill out the necessary information and ensure their forms are submitted correctly.

Follow the steps to complete your forms online effectively.

1. Use the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin with Section A, where you will complete each item related to your employee information, including your last name, first name, middle initial, date of birth, gender, and contact details.
3. Proceed to Section B to provide information about your domestic partner. Fill in their last name, first name, middle initial, current address (if known), ID number, and date of birth.
4. In Section C, you will declare the termination of your domestic partnership. Print your name and provide the exact end date of the relationship. Review and understand all associated responsibilities regarding coverage cancellation.
5. Sign and date the form in Section D to confirm your submission. Make a copy for your records, as it is important to retain a copy of the completed form.
6. Submit the completed form, along with any necessary update forms, to the appropriate agency/university payroll or benefits office. Ensure the address is correct to avoid delays.

Take action today and complete your Get Hard Copy Of Pebb Mid Year Change Forms online to ensure a smooth transition.