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Day Yr. C. BENEFIT SELECTION CHECK APPROPRIATE BOXES TO ELECT OR WAIVE COVERAGE l Elect or Waive - Health self Waive - Dental self Health plan product name Waive - Supplemental Life Benefit chosen Waive - STD l Elect or l Waive - LTD Waive - Life/AD D self Dental plan product name If applying for life benefits please indicate Beneficiary name and Relation to self Primary Beneficiary name Relation to self Contingent Beneficiary name I UNDERSTAND THAT PROVIDING FALSE INFORMATION IN THIS...
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What is add?
Add is the Additional Deduction Dispensation form.
Who is required to file add?
Employers are required to file add.
How to fill out add?
Add can be filled out online or in paper form.
What is the purpose of add?
The purpose of add is to claim additional deductions for tax purposes.
What information must be reported on add?
Information such as employee details, deduction amounts, and supporting documentation must be reported on add.
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