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Foothill- ? De Anza Community College District for retirement benefits and medical provider correspondence RETIREE ? ALTERNATE CONTACTS FORM DO YOU CURRENTLY HAVE A DESIGNATED POWER OF ATTORNEY (POA)?

How to fill out retiree alternative contacts form_jan2014

Point by point instructions on how to fill out retiree alternative contacts form_jan2014:

1. Begin by downloading the retiree alternative contacts form_jan2014 from the official website or obtaining a physical copy from your employer.
2. Fill out the personal information section accurately, including your full name, employee ID, and contact information.
3. Indicate your current status as a retiree and provide the necessary details such as retirement date and reason for retirement.
4. In the alternative contacts section, list the names and contact information of the individuals you would like to designate as your alternate contacts. These can be family members, close friends, or trusted individuals who can be reached in case of emergency or important communications.
5. Make sure to include accurate and up-to-date contact information for each alternate contact, such as their full name, phone number, and email address.
6. Review the form for any errors or omissions, ensuring that all required fields have been completed.
7. Sign and date the form at the designated area to certify that the information provided is true and accurate.
8. Return the completed form to the appropriate department or office as instructed. Be aware of any submission deadlines or specific procedures for submitting the form.

Who needs retiree alternative contacts form_jan2014?

Retirees who would like to designate alternate contacts to be notified in case of emergencies or important communications. This form ensures that the retiree's preferred alternative contacts are available and informed in case of any situation that requires their attention or involvement.

For pdfFiller’s FAQs

What is retiree alternative contacts form_jan2014?

Retiree alternative contacts form_jan2014 is a form used to provide alternative contact information for retirees.

Who is required to file retiree alternative contacts form_jan2014?

Retirees are required to file the retiree alternative contacts form_jan2014.

How to fill out retiree alternative contacts form_jan2014?

Retirees can fill out the retiree alternative contacts form_jan2014 by providing their personal information and the contact information of their chosen alternative contacts.

What is the purpose of retiree alternative contacts form_jan2014?

The purpose of retiree alternative contacts form_jan2014 is to ensure that retirees have updated contact information on file in case of emergencies or important updates.

What information must be reported on retiree alternative contacts form_jan2014?

Retirees must report their full name, address, phone number, email address, and the full name and contact information of their alternative contacts.

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