Get Cms R 297

Filling out the Cms R 297, also known as the Request for Employment Information form, is an essential step in applying for Medicare. This guide provides clear and detailed instructions to help you complete the form accurately.

Follow the steps to easily complete the Cms R 297 online.

1. Press the ‘Get Form’ button to access the Cms R 297 form and open it in your editor.
2. Complete Section A by providing your employer’s name, the date, the employer’s address, your name, your Social Security number, the employee’s name, and their Social Security number as applicable.
3. Once you have filled out Section A, provide the form to your employer so they can complete Section B.
4. In Section B, your employer will indicate whether the applicant is covered under an employer group health plan and provide necessary details about coverage dates.
5. If applicable, your employer will also document employment dates and other relevant information related to Hours Bank Arrangements.
6. After your employer has completed Section B, ensure they sign the form, date it, include their title, and provide their phone number.
7. Finally, submit the completed Cms R 297 form along with your Application for Enrollment in Medicare (CMS-40B) to your local Social Security office.

Begin compiling your documents online and fill out the Cms R 297 form to ensure a smooth Medicare enrollment process.