Get Tobacco User Change Form - Texas A&m University-kingsville - Tamuk
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to use or fill out the Tobacco User Change Form - Texas A&M University-Kingsville - Tamuk online
Navigating the Tobacco User Change Form can be straightforward with the right guidance. This comprehensive guide will help you understand how to effectively complete the form online, ensuring all required information is accurately provided.
Follow the steps to successfully complete the Tobacco User Change Form.
- Press the ‘Get Form’ button to receive the form and access it for editing.
- In Section 1, clearly print your employee or retiree name. You must fill in your last name, first name, and middle initial, followed by your unique identification number or social security number. Ensure that your signature is present before submission.
- Proceed to Section II to provide necessary information for each individual (yourself and any dependents) whose tobacco user status requires change. List each person's name (last, first, middle initial) and birthdate in the specified format (mm/dd/yyyy). Indicate their tobacco usage status.
- Understand that if any changes in tobacco user status will affect premium rates, these adjustments will take effect on the first of the month following the form's receipt by the Human Resources office.
- In Section III, read the Tobacco User Agreement carefully. Acknowledge the definition of a tobacco user provided in the form and ensure that your declarations regarding tobacco usage are accurate.
- Sign the form in ink (blue ink is preferred), providing your daytime phone number and signing with the date in the specified format (MM/DD/YYYY).
- Once all sections are filled out correctly, save your changes to the form. You may choose to download, print, or share the completed form as needed.
Complete your Tobacco User Change Form online today for a smoother experience.
Related links form
Changing a major/Adding a minor You will need to get a Change of Major form from your academic advisor or the Registrar's Office. Complete the form indicating the major, and then submit it to the Registrar's Office to be processed. Declaring a Minor is optional. Requirements for declaring a Minor. Procedures for Current Students | Texas A&M University Kingsville Texas A&M University Kingsville https://.tamuk.edu › agriculture › student-resources Texas A&M University Kingsville https://.tamuk.edu › agriculture › student-resources
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.