Get Do Not Submit This Form Without The Required Documentation ... - Uwhealth

Completing the DO NOT Submit This Form Without The Required Documentation ... - Uwhealth requires careful attention to detail to ensure that all necessary information and documentation are provided. This guide will walk you through each step to help ensure a smooth process.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the form and open it in your editing application.
2. Begin by entering your employee name and employee ID in the designated fields at the top of the form.
3. If applicable, fill in the marriage date and the date of your ETF domestic partnership.
4. For each dependent you wish to enroll, input the dependent's name, relationship to you, and their birth date in the appropriate fields. Include up to four dependents, and if you have more, make sure to photocopy the form to add their information.
5. Review the dependent verification documentation requirements and gather the necessary documents. Valid options include birth certificates for children, a marriage license for a spouse, or an ETF Affidavit of Domestic Partnership for a domestic partner.
6. Sign the certification statement confirming the eligibility of your dependents listed on the form.
7. Indicate the date of your signature.
8. Finally, save your changes and download the completed form. You have the option to print and share the form as needed.

Complete your documentation online to ensure timely enrollment of your dependents.