Get Pop8 Waiver - City Of Houston - Houstontx

Filling out the POP8 Waiver for the City of Houston can seem daunting, but this guide will assist you in navigating the process effortlessly. Whether you are a contractor or subcontractor, this step-by-step guide will help you complete the waiver form accurately and efficiently.

Follow the steps to complete the POP8 Waiver online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the contractor’s name and selecting whether you are a contractor or subcontractor. You will also need to provide the vendor number associated with your business.
3. Fill in the contract number and a brief description of the contract, as well as the contracting department responsible for overseeing the project.
4. In the main section, state your request for the waiver by including the name of the employee this request pertains to. Make it clear that the employee was offered health benefits and that they voluntarily declined the offer.
5. Have a contractor representative complete their name and title, followed by their signature and the date.
6. Next, the employee must complete their affidavit. They should provide their name and select the reason for requesting the exemption from the Pay or Play policy by checking the appropriate box.
7. The employee must fill in their contributions towards health benefits and indicate the frequency of payments, either biweekly or monthly.
8. After completion, the employee should sign and include their printed name.
9. The notary public section must be completed to validate the affidavit. Ensure you have a notary public present to witness the signing.
10. Finally, include any necessary recommendations or actions required by the contracting department and the Office of Business Opportunity.
11. Save your completed form, and choose to download, print, or share it as needed.

Start filling out your POP8 Waiver online today to ensure compliance with the City of Houston regulations.