Get Voluntary Layoff Form

Filling out the Voluntary Layoff Form online can seem daunting, but it is a straightforward process when broken down into manageable steps. This guide will walk you through each section of the form and provide helpful tips to ensure your submission is successful.

Follow the steps to complete the Voluntary Layoff Form online.

1. Press the ‘Get Form’ button to access the Voluntary Layoff Form and open it in your preferred editor.
2. Begin by entering your personal information in the Member Information section. This includes your Member ID, primary policy holder's name, address, social security number, phone number, and email. Ensure all information is accurate and up-to-date.
3. Fill out the Termination Request section. Here, you must select whether you are requesting to terminate for the Subscriber Only, Entire Policy, or Spouse and/or Dependents Only. Provide the requested termination date and complete any additional fields as required.
4. Select the reason for terminating the policy from the provided options. This information helps the organization understand your experience and improve services.
5. Acknowledge the effective date of the termination, ensuring you understand the conditions regarding submission timing relative to premium cancellation.
6. Sign and print your name in the designated areas for the policy holder or legal guardian and include today’s date. This step is crucial, as the form must be signed to be valid.
7. Once you have completed all sections, review the form for accuracy. After confirming that all information is correct, you can choose to save changes, download, print, or share the form as needed.

Complete your Voluntary Layoff Form online today to ensure a smooth and efficient process.