Get Instructions For Data Verification Employer Request For An Extension

Filling out the Instructions For Data Verification Employer Request For An Extension form can be a straightforward process if you follow the provided guidelines. This guide assists you in completing the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the document and open it in your editor.
2. In Section A, enter comprehensive employer information. Include the employer name, employer number, name of the employer representative, and their phone number with area code and extension if available.
3. In Section B, fill out the member information. Input the member's first name, middle initial, last name, and PERS number.
4. Section C involves the extension request. Specify the number of days for the extension and the end date in the format mm/dd/yyyy. Additionally, provide a clear reason for the extension request. If necessary, attach further documentation.
5. Ensure the employer representative signs and dates the form at the designated area. Remember to avoid any changes or alterations to the form.
6. Once all sections are filled and verified, save your changes, download the completed form, or print it for mailing. Send the signed form to the PERS address provided: PO Box 23700, Tigard OR 97281-3700.

Complete your documents online now for a smoother submission process.