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Get Tobacco User Change Form - Texas A&m University
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How to fill out the Tobacco User Change Form - Texas A&M University online
Filling out the Tobacco User Change Form is an essential step for employees and retirees of Texas A&M University who wish to update their tobacco user status. This guide will provide you with clear instructions to complete the form online accurately and efficiently.
Follow the steps to fill out the Tobacco User Change Form online
- Press the ‘Get Form’ button to access the Tobacco User Change Form and open it in your preferred online editor.
- In Section 1, enter your last name, first name, and middle initial (if applicable) in the designated fields. Additionally, provide your Employee/Retiree name and the UIN or Social Security number. Ensure these details are accurately printed.
- Proceed to Section II, where you will list the required information for each employee, retiree, or dependent whose tobacco user status you are changing. Fill in their last name, first name, and middle initial, followed by their birthdate in the specified format (mm/dd/yyyy). Indicate whether each individual is a tobacco user by marking 'Y' for yes or 'N' for no.
- Review Section III, which serves as the affidavit for the Tobacco User Agreement. Understand the definition of a tobacco user as someone who uses tobacco products more than five times in three months. Carefully read the agreement and agree to the terms stated.
- Sign the form in ink (blue ink preferred) where indicated in Section III and provide your daytime phone number. Fill in the signature date using the format MM/DD/YYYY.
- Once the form is filled out completely, save your changes, and you may choose to download or print the form for your records before submitting it to your Human Resources office.
Complete your Tobacco User Change Form online now to ensure your information is up-to-date.
Smoking is not allowed on Texas A&M campus. This measure is taken to prioritize the well-being of the entire campus community. If you're interested in quitting or reducing your tobacco use, the Tobacco User Change Form - Texas A&M University can offer useful resources to assist you on your journey.
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