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THE UNIVERSITY OF WESTERN AUSTRALIA PROPOSAL TO SPLIT FUND A UPA SCHOLARSHIP (HULA) The financial commitment to a SplitFunded University Postgraduate Award is up to 2 years for a Master’s degree
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How to fill out split funded upa form

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Who needs split funded upa form?

01
Employers who offer split-funded UPA plans to their employees.
02
Employees who are eligible for split-funded UPA plans.

How to fill out split funded upa form:

01
Begin by collecting all the required information. The form will typically ask for personal details such as your name, address, Social Security number, and contact information. Make sure to have this information readily available before starting the form.
02
Read the instructions carefully. The split funded UPA form may have specific guidelines and requirements, so familiarize yourself with the instructions before proceeding.
03
Complete the employer section. If you are an employee, your employer may have a section on the form that requires their information, such as their name, address, and employer identification number (EIN). Fill out this section accurately.
04
Provide your personal information. Fill out the designated fields with your personal details, including your name, address, contact information, and Social Security number. Double-check the accuracy of the information to avoid any errors.
05
Indicate your eligibility. The form may have a section where you need to confirm your eligibility for the split-funded UPA plan. Ensure that you meet the necessary criteria and mark the appropriate box or provide the required information.
06
Choose your contribution amounts. The split-funded UPA form may require you to select the desired contribution amounts for both your employer and yourself. Consider any guidelines or limits provided and make your selections accordingly.
07
Review and sign the form. Once you have filled out all the sections, carefully review the form for any errors or missing information. Make sure everything is accurate before signing and dating the form.
08
Submit the form. Follow the instructions provided on how to submit the completed split funded UPA form. This could include mailing it to a specific address or submitting it electronically. Keep a copy for your records.
Remember, it's always a good idea to consult with your employer or a benefits administrator if you have any questions or need assistance with filling out the split-funded UPA form.
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