
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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How to fill out the NIH 2705-1 online
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.
- Use the ‘Get Form’ button to acquire the NIH 2705-1 form and open it in the designated online editor.
- 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.'
- Enter your name (Last Name, First Name, Middle Initial) in the corresponding field.
- Provide your NIH ID number, ensuring it is accurate.
- Fill in the expiration date of your participation.
- Indicate the total monthly benefit on Page 2, using the calculated amount based on your commuting costs.
- Include your division or center and email address for contact purposes.
- Fill out your office phone number and office address, including street, city, state, and zip code.
- Provide your home (local) address, including street, city, state, and zip code.
- 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.
- Read and certify the information provided, ensuring that all statements are accurate and truthful. Understand the implications of false information.
- Sign and date the form to complete your application.
- 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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