Get Tobacco Affidavit For Osu Employees - Hr Okstate

Filling out the Tobacco Affidavit for OSU Employees is an important step for promoting a tobacco-free workplace and securing health coverage incentives. This guide will help you navigate the process of completing the form online in a clear and supportive manner.

Follow the steps to successfully complete your Tobacco Affidavit.

1. Press the ‘Get Form’ button to access the Tobacco Affidavit and open it in the editing interface.
2. Begin by entering your last name in the designated field. This helps identify your application properly.
3. Next, fill in your first name and middle initial, ensuring correct spelling for accurate processing.
4. Provide your home address including street address, city, state, and zip code. This information is crucial for future communications.
5. Enter your CWID (Campus Wide Identification Number) in the appropriate box, as this is necessary for your employee record.
6. Input your home phone number, which may be used for verification or contact purposes.
7. Fill in your work phone number to allow your workplace to reach you if needed.
8. Indicate your tobacco usage by selecting one of the options: 'Yes, Tobacco User', 'No, Non-Tobacco User', or 'Have completed a tobacco cessation program'. Place an 'X' in the box that applies to your current situation.
9. If you choose 'Have completed a tobacco cessation program', provide the date of completion in the space provided.
10. Proceed to sign the affidavit in the designated signature field, certifying that all provided information is true and correct.
11. Finally, enter the date on which you are completing the form, ensuring all sections are filled out accurately.
12. Once all fields are completed, you can save your changes, download a copy, print it for your records, or share it as required.

Complete your Tobacco Affidavit online today to promote a healthier workplace.