Get Ebsa Form 700

The Ebsa Form 700 is essential for organizations seeking an accommodation regarding the federal requirement to cover certain contraceptive services. This guide provides clear and supportive instructions to help you accurately complete and submit the form online.

Follow the steps to fill out the Ebsa Form 700 online effectively.

1. Click the ‘Get Form’ button to access the EBSA Form 700.
2. Begin by entering the name of the objecting organization in the designated field. Ensure the organization's name is accurate and corresponds with legal documentation.
3. Next, fill in the name and title of the person authorized to make the certification. This individual must be able to act on behalf of the organization.
4. Provide the complete mailing address, email address, and phone number for the authorized individual. Ensure this information is correct to facilitate any necessary follow-ups.
5. In the certification section, confirm that the organization opposes providing coverage for some or all contraceptive services due to religious objections. Mark the appropriate box to indicate this.
6. Affirm that the organization operates as a nonprofit entity and qualifies as a religious organization. This is crucial for eligibility in the accommodation.
7. Sign the certification form in the space provided. The signature must be from the person listed in the previous fields.
8. Enter the date on which the certification is signed, ensuring that it corresponds with the current submission.
9. After completing the form, review all entries for accuracy. Once confirmed, you can save changes, download, print, or share the completed form as needed.

Complete the Ebsa Form 700 online to ensure compliance with federal requirements today.