Get Legal Plan Enrollment Form

Filling out the Legal Plan Enrollment Form online is a straightforward process designed to help you secure enrollment in the St. Jude Children’s Research Hospital Legal Plan. This guide will walk you through each step, ensuring you complete the form accurately and efficiently.

Follow the steps to successfully enroll in the legal plan.

1. Click the ‘Get Form’ button to obtain the form and immediately access it in the editor.
2. Enter your Employee ID number in the designated field. This number is essential for processing your enrollment and should be entered accurately.
3. In the last name field, write your last name as it appears on your employment records.
4. In the first name field, input your first name. Ensure that the spelling matches your official documentation.
5. Select the option to enroll by checking the box next to ‘Yes, I wish to enroll in the St. Jude Children’s Research Hospital Legal Plan.’ This indicates your intention to receive coverage under the plan.
6. Review the acknowledgment statement regarding the cost of the plan, which is $16.50 per month. Understand that this amount will be deducted from your wages.
7. Provide your signature in the designated area. This confirms your consent to the payroll deductions and acknowledges the terms of enrollment.
8. Fill in the date of completion on the designated line.
9. After completing the form, review all entered information for accuracy. Check that your Employee ID, names, and acknowledgment are correct.
10. Once confirmed, you can save your changes, download, print, or share the form as necessary.

Begin enrolling in the legal plan online today.