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Employees are eligible for the nonuseoftobacco discount off of the cost for medical insurance, effective on the first day of the month following receipt of this signed and completed certification

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How to fill out non use of tobacco

How to fill out non use of tobacco:

01

Begin by providing your personal information, including your name, date of birth, and contact information.

02

Indicate the reason for filling out the non use of tobacco form. This could be due to being a non-smoker, having quit smoking, or for any other relevant reason.

03

Provide any additional details or explanations required on the form. This may include explaining your motivation for not using tobacco or any specific circumstances related to your non-use.

04

Review the form thoroughly to ensure all necessary sections are completed accurately and legibly.

05

Sign and date the form to certify the accuracy and truthfulness of the information provided.

Who needs non use of tobacco:

01

Individuals who are non-smokers and have never used tobacco products.

02

People who have successfully quit smoking and want to document their non-use of tobacco.

03

Organizations or institutions that require proof of non-use of tobacco from their members or employees, such as schools, sports teams, or workplaces with tobacco-free policies.

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What is non use of tobacco?

Non use of tobacco refers to the act of not using tobacco products.

Who is required to file non use of tobacco?

Individuals who do not use tobacco products are required to file non use of tobacco.

How to fill out non use of tobacco?

To fill out non use of tobacco, individuals need to provide information stating that they do not use tobacco products.

What is the purpose of non use of tobacco?

The purpose of non use of tobacco is to identify individuals who do not use tobacco products for various purposes such as health programs, insurance premiums, etc.

What information must be reported on non use of tobacco?

The information reported on non use of tobacco includes personal details and confirmation of non use of tobacco products.

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