Get Fringe Benefit Enrollment Form I.b.e.w. ... - Ie Shaffer

Completing the Fringe Benefit Enrollment Form I.B.E.W. is a crucial step in securing your benefits. This guide provides detailed instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to successfully complete your enrollment form.

1. Press the ‘Get Form’ button to access the enrollment form. This will allow you to view and edit the document online.
2. Begin by filling in your personal information. This section includes your last name, first name, middle initial, home address, city, state, zip code, and email address. Ensure all fields are completed with accurate and legible information.
3. Enter your Social Security Number and contact details, including your cell phone number and home phone number. Make sure your information is up to date.
4. Indicate your marital status by circling the appropriate option: single, married, divorced, or widowed. If married, list the names of your spouse and any unmarried dependent children in order of age, along with their Social Security Numbers and dates of birth.
5. Designate your beneficiaries by completing the beneficiary designations section. Include the names and relationships of your beneficiaries, ensuring all details are correct to avoid discrepancies.
6. If you plan to name someone other than your spouse as a beneficiary for pension or surety benefits, your spouse must provide notarized consent. Make sure to fill in this section appropriately and include a notary public signature.
7. Review the documentation requirements mentioned in the instructions. Gather necessary documents like marriage and birth certificates when applicable, as these will need to be submitted with your form.
8. Once all sections are completed, sign and date the document where indicated. Your form must be signed to be valid.
9. Return the completed form along with the required documentation to I E Shaffer & Co, PO Box 1028, Trenton NJ 08628. Keep a copy for your records.

Take the next step in securing your benefits by completing your form online today.