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Employee Tobacco User Affidavit I certify that I or my covered dependents on Telehealth health insurance plan (i) do not presently smoke or use tobacco products, and (ii) have not smoked or used tobacco products

How to fill out employee non-tobacco affidavitdoc

How to fill out employee non-tobacco affidavitdoc:

1. Begin by carefully reading the instructions provided on the affidavit document. Make sure you understand the purpose and requirements of the document.
2. Fill in your personal information accurately. This may include your full name, employee identification number, job title, and department.
3. Provide details about your tobacco usage. If you are a non-tobacco user, simply indicate that you do not use tobacco products. If you are a tobacco user, specify the type of tobacco product(s) you use and the frequency of use.
4. If required, sign and date the affidavit at the designated space. Make sure your signature is clear and legible.
5. Submit the completed employee non-tobacco affidavit to the appropriate person or department as instructed. Ensure that all necessary copies are made for your records.

Who needs employee non-tobacco affidavitdoc:

1. Employers who want to enforce a non-tobacco policy in the workplace may require employees to fill out a non-tobacco affidavit. This helps the employer identify employees who do not use tobacco products.
2. Companies or organizations that offer tobacco-free benefits or incentives to their employees may also require the completion of a non-tobacco affidavit as proof of eligibility for such benefits.
3. Insurance providers may sometimes request employees to fill out a non-tobacco affidavit to determine premium rates for health or life insurance policies. Non-tobacco users often receive lower insurance rates due to lower health risks associated with smoking or tobacco use.

It's important to note that the need for filling out an employee non-tobacco affidavit may vary depending on the specific policies and requirements of each organization or situation. Therefore, it is best to follow the instructions provided by your employer or insurance provider to determine if you need to fill out this document.

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