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Mass Massachusetts DEP apartment of Trey additional Assistance VOLS UNITARY REVUE TO STOP B Y EST BENEFIT TS The ate: Nam me: Add less: City/ /Town: You have revue u tested the Department of Transition
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How to fill out voluntary-request-to-stop-benefits-0715docx - webapps ehs:
01
Download the voluntary-request-to-stop-benefits-0715docx form from the webapps ehs website.
02
Open the form using a compatible document editor such as Microsoft Word or Google Docs.
03
Fill in your personal information in the designated fields, including your full name, address, contact number, and email address.
04
Provide your employee identification number and the name of your employer.
05
Indicate the type of benefits you wish to stop by checking the corresponding box or providing specific details if required.
06
Include any supporting documentation or explanation that may be necessary for the request.
07
Review the form for accuracy and make any necessary revisions or corrections.
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Sign and date the form to confirm your consent and understanding.
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Submit the filled-out form through the appropriate channels as specified by your employer or the webapps ehs platform.
Who needs voluntary-request-to-stop-benefits-0715docx - webapps ehs:
01
Employees who have previously enrolled in benefits through the webapps ehs platform and now wish to stop receiving or participating in those benefits.
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Individuals who are leaving their current employment and need to cease their benefits coverage.
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Employees who have experienced a change in circumstances and no longer require the benefits they previously enrolled in through webapps ehs.
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Anyone who has mistakenly enrolled in a benefit program or realized that they do not meet the eligibility requirements and therefore need to stop their benefits.
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