Get the free 2017 Benefit Election Form - County of Riverside

Print Form Reset Form Human Resources Benefits Division, 4080 Lemon Street, P.O. Box 1569, Riverside, CA 92502, (951) 9554981 County of Riverside, Human Resources Department 2017 Benefit Election

How to fill out 2017 benefit election form

How to fill out 2017 benefit election form

1. Read the instructions provided with the 2017 benefit election form.
2. Start by entering your personal information such as your name, employee ID, and contact details.
3. Specify the date on which you are filling out the form.
4. Review the available benefit options and choose the ones that fit your needs.
5. For each benefit option, indicate your desired coverage level or contribution amount.
6. If you have any dependents, provide their information and indicate the coverage options for them as well.
7. Complete any additional sections or questions as prompted.
8. Double-check all the information you have provided for accuracy.
9. Sign and date the form at the designated area.
10. Submit the filled-out form to the appropriate department or supervisor as instructed.

Who needs 2017 benefit election form?

1. All employees who are eligible for company benefits in 2017 need to fill out the benefit election form.
2. New employees who are joining the company in 2017 also need to complete the form to indicate their benefit preferences.
3. Employees who experienced a change in their family or personal circumstances during the year may need to update their benefit elections by filling out the form again.
4. Additionally, anyone who wishes to make changes to their existing benefit elections for the upcoming year must submit a new 2017 benefit election form.

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What is benefit election form?

A benefit election form is a document used by individuals to select the benefits they wish to receive from a company or organization.

Who is required to file benefit election form?

Employees or individuals who are eligible for benefits through their employer or organization are required to file a benefit election form.

How to fill out benefit election form?

To fill out a benefit election form, individuals must provide their personal information, select the benefits they wish to receive, and sign the form.

What is the purpose of benefit election form?

The purpose of a benefit election form is to allow individuals to choose the benefits that best suit their needs and preferences.

What information must be reported on benefit election form?

Information such as name, address, dependents, desired benefits, and signature must be reported on a benefit election form.