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How to fill out the Request For Employment Information (CMS-R-297) online
This guide provides comprehensive instructions on how to accurately complete the Request For Employment Information (CMS-R-297) form online. By following these steps, you will ensure that your application for Medicare enrollment is processed smoothly.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Section A of the form, as the individual applying for Medicare, provide your employer’s name in the designated field.
- After completing Section A, present the form to your employer for them to complete Section B, which also needs to be filled out in its entirety.
- All employers should sign and date the completed Section B of the form, and provide their title and phone number for follow-up.
To facilitate your Medicare enrollment process, fill out and submit your Request For Employment Information form online today.
This form is your application for Medicare Part B (Medical Insurance). You can use this form to sign up for Part B: During your Initial Enrollment Period (IEP) when you're first eligible for Medicare. During the General Enrollment Period (GEP) from January 1 through March 31 of each year.