Get Summary Of Benefits - Texas Tech University Health Sciences Center

Filling out the Summary Of Benefits for Texas Tech University Health Sciences Center is an essential task for new employees. This guide will provide you with clear and step-by-step instructions to ensure a smooth and accurate completion of the form.

Follow the steps to successfully complete your summary of benefits form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date and your SSN/TIN, which is necessary for identification purposes.
3. Provide the exact name of the individual as it appears on the application, ensuring accuracy to avoid discrepancies.
4. Indicate that the individual’s name has been checked against the specified Sanction/Exclusion lists. Fill in relevant checkboxes or write down the applicable lists.
5. Attach copies of each search result related to the Sanction/Exclusion lists to this certification for verification.
6. Confirm that the individual named does not appear on any of the referenced Sanction/Exclusion Lists by completing the certification statement.
7. Sign the document in the space provided, then print your name and job title to validate your approval.
8. Fill in the location field accurately, as it is required for documentation.
9. Once all sections are completed, review the document for accuracy before saving changes, and decide whether to download, print, or share the completed form.

Complete your Summary Of Benefits form online today to ensure prompt processing of your benefits.