Get Polmed Affidavit Form

Filling out the Polmed Affidavit Form online is an essential step for confirming your partner as a beneficiary under your POLMED membership. This guide provides you with easy-to-follow instructions to ensure accurate completion of the form, making the process as straightforward as possible.

Follow the steps to complete the Polmed Affidavit Form online.

1. Click ‘Get Form’ button to obtain the Polmed Affidavit Form and open it in your preferred document editor.
2. Enter your POLMED membership number in the designated field. This information is crucial for identifying your membership.
3. In the section labeled 'To whom it may concern', provide your full name in the blank space provided.
4. Insert your ID number where indicated, ensuring it matches the identification document you possess.
5. Declare your intention to register your partner as a beneficiary by checking the appropriate box or completing the statement provided.
6. Indicate that you and your partner share a common household and are financially dependent on each other by filling in the respective fields.
7. Your partner must also fill out their information, including full name and ID number, in the respective sections.
8. Your partner should confirm their financial dependency and shared household status by completing their declaration.
9. The witness section must be filled out by a designated person who can confirm your relationship. They will need to provide their name, ID number, and signature.
10. Once all sections are filled out, each party involved must sign and date the form in the designated areas.
11. After completing the form, save your changes, and you can choose to download, print, or share the Polmed Affidavit Form as needed.

Complete your Polmed Affidavit Form online now for a smoother submission process.