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Get the free active employee notice of election sc form - eip sc

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You must also complete a Tobacco Certification form within 31 days of enrolling in health coverage and whenever the status of tobacco use changes for you or a dependent covered under your health insurance.
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Active employee notice is a document that notifies the employer about an employee's intent to return to work after a period of leave or absence.
The employee is responsible for filing the active employee notice with their employer.
To fill out the active employee notice, the employee needs to provide their name, date of leave or absence, expected date of return, and any additional relevant information.
The purpose of the active employee notice is to inform the employer about an employee's plan to return to work.
The active employee notice must include the employee's name, date of leave or absence, expected date of return, and any additional relevant information the employer may request.
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