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Amount New Enrollment in Transhare Program 2. EMPLOYEE'S NAME (Last Name, First Name, Middle Initial ) Annual Re-certification 3. NIH ID NUMBER 4. EXPIRATION DATE 5. TOTAL MONTHLY BENEFIT FROM PAGE 2 $ 7. DIVISION OR CENTER 8. EMAIL ADDRESS 10. OFFICE PHONE NUMBER 9. OFFICE ADDRESS (Street Address ) CITY STATE BUILDING NAME OR NUMBER ROOM NUMBER ZIP CODE 11. HOME (LOCAL) ADDRESS (Street Address ) CITY STATE ZIP CODE I own a SMARTRIP card with serial # _ _ _ _ _ _ _ _ _ _ (last.

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This guide provides a clear and supportive approach to completing the NIH 2705-1 form online. Follow these steps to ensure that you provide all necessary information accurately and efficiently.

Follow the steps to complete the NIH 2705-1 form effectively.

  1. Use the ‘Get Form’ button to acquire the NIH 2705-1 form and open it in the designated online editor.
  2. In Section 1, complete all fields as an employee. Begin with the purpose of your application, selecting from options like 'Change in Benefits Amount' or 'New Enrollment in Transhare Program.'
  3. Enter your name (Last Name, First Name, Middle Initial) in the corresponding field.
  4. Provide your NIH ID number, ensuring it is accurate.
  5. Fill in the expiration date of your participation.
  6. Indicate the total monthly benefit on Page 2, using the calculated amount based on your commuting costs.
  7. Include your division or center and email address for contact purposes.
  8. Fill out your office phone number and office address, including street, city, state, and zip code.
  9. Provide your home (local) address, including street, city, state, and zip code.
  10. Indicate if you own a SMARTRIP card and provide the last 10 digits of its serial number, or state that you require a SMARTRIP card.
  11. Read and certify the information provided, ensuring that all statements are accurate and truthful. Understand the implications of false information.
  12. Sign and date the form to complete your application.
  13. Submit the completed form online, saving changes, downloading, printing, or sharing it as necessary.

Complete the NIH 2705-1 form online today to participate in the Transhare Program.

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