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This document is for employees to apply for exclusion from membership in the Public Employees Retirement Association of New Mexico as per the specified statute, allowing them to file a written application
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How to fill out application for exclusion from

How to fill out APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION
01
Obtain the APPLICATION FOR EXCLUSION FROM MEMBERSHIP form from the relevant employer or organization.
02
Fill in your personal details such as name, address, and contact information at the top of the form.
03
Provide your employment details including your employer's name and your position.
04
Clearly state your request for exclusion from membership in the designated section of the form.
05
Add any necessary supporting documentation that may be required, such as proof of your current employment status.
06
Review the form for accuracy and completeness before signing it.
07
Submit the completed form to the appropriate administrative office or designated contact point.
Who needs APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
01
Individuals who are currently employed and wish to exclude themselves from membership in a particular organization or benefit plan during their employer affiliation.
02
Employees seeking to maintain their employment benefits while opting out of certain organizational memberships.
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What is APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
It is a legal document that allows an individual to opt out of membership in a specific organization or plan when they are affiliated with an employer.
Who is required to file APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
Individuals who do not wish to be a member of a particular organization or plan while being employed by an affiliated employer are required to file this application.
How to fill out APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
To fill out the application, individuals must provide their personal information, details of their employer affiliation, and a statement indicating their desire to exclude themselves from membership.
What is the purpose of APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
The purpose is to formally document an individual's wish to avoid membership dues or responsibilities associated with a membership while being employed.
What information must be reported on APPLICATION FOR EXCLUSION FROM MEMBERSHIP AT THE TIME OF EMPLOYER AFFILIATION?
The application must report the individual's name, contact information, the name of the employer, the reason for exclusion, and any other relevant details as required by the organization.
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