Follow the steps to successfully complete your application.

1. Use the ‘Get Form’ button to access the application and open it in your preferred format.
2. Fill in your personal information in the designated fields, including your name, social security number, and permanent address.
3. Indicate where to mail the check, if different from your permanent address, and provide a contact number and email address.
4. Enter your birth date and any additional required personal information.
5. Ensure you understand the guidelines about working under the authority of your license while collecting benefits, as indicated in the form.
6. Sign and date the application certifying that the provided information is accurate.
7. List your employment history in chronological order and specify the type of service (FOS or ROS) in the appropriate sections.
8. Submit all required documentation, such as pay vouchers and any other documents listed in the instructions.
9. Choose your vacation preferences, specifying whether you want to take partial vacation days or carry over any days.
10. Complete the attached W-4 form, making sure to follow the instructions for accurate tax withholding.
11. Review your application for any missing information or signatures before submitting.
12. Once completed, save any changes, download the form, print it, or share it as necessary.

Take the next step towards your vacation benefits by filling out and submitting your application online today.