Get Nj Division Of Pensions & Benefits Fb 0187 0612w Form

This guide will assist you in accurately completing the Nj Division Of Pensions & Benefits Fb 0187 0612w Form online. By following the detailed steps, you can ensure that all necessary information is correctly filled out for your submission.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Select the type of activity you are performing by checking the appropriate box: Add New Account, Notice of Change, or Delete Account.
3. Enter your six-digit employer location number accurately, including leading zeros if applicable.
4. Type the employer name in the space provided, ensuring that it does not exceed 25 characters.
5. Provide the primary contact's name, who will handle inquiries related to the form or payments.
6. Fill in the address of the primary contact ensuring it is complete and correct.
7. Specify the city associated with the address of the primary contact.
8. Indicate the two-letter state abbreviation.
9. Enter the five or nine-digit zip code for accurate mail delivery.
10. Provide the primary contact's direct phone number, using the format (___) ___-____.
11. Fill in the primary contact's email address for future correspondence.
12. If applicable, provide the name of a secondary contact for additional inquiries.
13. List the phone number for the secondary contact.
14. Include the secondary contact’s email address.
15. Fill in the financial institution’s 9-digit transit (routing) number, which can be found on your checks.
16. Provide the account number used for funding, which can be up to 17 digits long.
17. Sign and date the Authorization section to confirm all details are correct.

Complete your documents online today and ensure timely processing of your requests.