Get Wcif Demographic Change Form - Whitman County

Filling out the WCIF Demographic Change Form is an essential process for updating your contact information or name for your benefits with Whitman County. This guide will assist you in completing the form online with ease and confidence.

Follow the steps to accurately fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify the type of change you are registering by checking one of the options provided: Employee Address Change, Dependent Address Change, Change of Contact Information, or Name Change.
3. In the employer section, fill in the employer name, which is Whitman County, along with any applicable class code and BSI account number. Ensure the administrator's name is Susan Nelson and enter the date approved.
4. Proceed to the employee information section. Fill in your new or current information, including your full name, address, home phone, work phone, social security number, city, state, zip code, cell phone, and email address.
5. If you are making a change, provide the previous information by entering the former details in the designated fields under the previous information section.
6. If you have dependents, complete the dependent information section with their new or current information, including their name, address, social security number, city, state, and zip code.
7. If changes apply to dependents, be sure to fill in the relevant previous information as needed.
8. Finally, sign the form confirming that this submission replaces all previous forms you have completed for WCIF benefits. Include the date of your signature.
9. Once you have completed the form, you can save your changes, download the completed document, print it, or share it as required.

Complete your WCIF Demographic Change Form online today!