Get Form 3934 Release Of Information Authorization - State Retirement ...

Filling out the Form 3934 Release Of Information Authorization is an essential step for individuals seeking to establish eligibility for disability benefits from the State Employees' Retirement System of Illinois. This guide provides clear and detailed instructions on how to complete this form online, ensuring that users can navigate the process with confidence.

Follow the steps to successfully complete the form online.

1. Click the 'Get Form' button to access the form and open it within your preferred editing tool.
2. In the form, start by entering your name clearly in the designated area labeled 'Name'. Make sure to print legibly to avoid any issues with processing.
3. Next, provide your complete address, which includes the street address, city, state, and zip code. Ensure that all details are accurate to prevent delays in processing.
4. Add your phone number in the specified field. This should be a number where you can be easily reached for any follow-up questions or clarifications.
5. Enter your email address. This will allow the retirement system to communicate with you electronically, if necessary.
6. Fill in your Social Security Number in the corresponding section. This information is critical for the identification process.
7. Sign the form in the 'Signature' field, along with the date of your signature. By signing, you are authorizing the release of information as specified in the form.
8. Indicate your date of birth in the appropriate area. This information helps to verify your identity.
9. Include a witness's signature, which must be from someone over the age of 18. Ensure that this person also includes the date of their signature.
10. Finally, review all entered information for accuracy. Once confirmed, you can save your changes and download the form. You may then print it or share it as needed.

Complete the Form 3934 Release Of Information Authorization online today to streamline your application for disability benefits.