Get State Bi-weekly Pop Declination - State Of New Jersey - State Nj

This guide provides clear and comprehensive instructions on filling out the State Bi-weekly POP Declination form for New Jersey. By following these steps, you will ensure that your preferences regarding the Premium Option Plan are accurately recorded.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your personal information. Enter your last name, first name, middle initial, social security number, payroll number, and date of hire in the designated fields.
3. Indicate your decision regarding participation in the POP for the 2002 Plan Year. Select the statement that clearly states you do not wish to enroll in the plan, confirming your understanding that your premiums will be fully taxed.
4. Sign the document to validate your declination. Ensure your signature is legible and in the appropriate space provided.
5. Fill in the date of your signature to indicate when the form was completed.
6. Detach the completed form and ensure it is returned to your benefits administrator or Human Resources Office by the deadline of October 31, 2001.
7. After completing the form, you can save the changes, download a copy for your records, print the form for submission, or share it as necessary.

Complete your forms online efficiently and ensure your preferences are accurately recorded.