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Fulton County Tobaccos Attestation and Health Assessment Pledge Retirees Under Age 65 Must Complete this Form Retirees Under Age 65: You can reduce your 2016 biweekly medical premium by taking the
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How to fill out fulton county tobacco-use attestation

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How to fill out fulton county tobacco-use attestation:

01
Visit the official website of Fulton County and search for the tobacco-use attestation form.
02
Download the form or access it online.
03
Read the instructions carefully to understand the requirements and purpose of the form.
04
Fill in your personal information, including your full name, address, contact details, and any other required information.
05
Provide accurate details about your tobacco usage or non-usage, as requested in the form. This may include specifying if you are a current tobacco user or if you have quit.
06
If applicable, provide any additional information or explanations about your tobacco usage, if requested.
07
Review the completed form to ensure all necessary fields are filled out accurately and completely.
08
Sign and date the attestation form to confirm that the provided information is true and accurate to the best of your knowledge.

Who needs Fulton County tobacco-use attestation:

01
Individuals who are employed or seeking employment with organizations or institutions within Fulton County may need to complete the tobacco-use attestation form.
02
Students applying for certain educational programs or institutions within Fulton County may be required to submit this attestation.
03
Some healthcare facilities or providers may require patients to complete the Fulton County tobacco-use attestation as part of their intake process.
04
Contractors or individuals participating in certain contracts or events within Fulton County may need to provide this attestation.
05
It is advisable to check with the specific organization, institution, or entity you are associated with or applying to, to determine if the Fulton County tobacco-use attestation is required.
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Fulton County tobacco-use attestation is a form that employers are required to fill out to report the tobacco-use status of their employees.
All employers in Fulton County are required to file the tobacco-use attestation for their employees.
Employers can fill out the tobacco-use attestation by providing information about their employees' tobacco-use status.
The purpose of the tobacco-use attestation is to gather data on the tobacco-use status of employees in Fulton County.
Employers must report the tobacco-use status of their employees, including whether they are tobacco users or non-tobacco users.
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