Get Employee Vision Enrollment Form - The Tarnol Group Inc

Filling out the Employee Vision Enrollment Form is an important step in securing vision benefits for you and your eligible dependents. This guide will walk you through the process of completing the form online, ensuring you understand each section and can provide the necessary information effectively.

Follow the steps to complete the form accurately and efficiently.

1. Click the ‘Get Form’ button to access the Employee Vision Enrollment Form. This will allow you to open the document for editing.
2. Begin by filling in your employee information. Provide your group name, group policy number, employee effective date, middle initial, first name, last name, address, social security number, date of birth, city, state, date of hire, and ZIP code.
3. Indicate your sex by selecting the appropriate option. This information is used for identification purposes.
4. List all enrolling dependents. This includes your spouse or domestic partner and your or your spouse's/domestic partner's unmarried children within the specified age range in your policy.
5. For each dependent, fill in their relationship to you, sex, first name, middle initial, last name, date of birth, and whether they are a full-time student.
6. Once all fields are completed, ensure all information provided is accurate and complete.
7. Sign and date the form at the designated signature section. This confirms your consent and the accuracy of the information provided.
8. Submit the completed form to your employer as instructed to finalize your enrollment.

Take the first step today by filling out the Employee Vision Enrollment Form online.