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ARIZONA METROPOLITAN TRUST (AZT) AVONDALEBENEFIT ENROLLMENT/CHANGE REEMPLOYMENT STATUSEFFECTIVE DATE OF COVERAGE/CHANGE Active Employee Elected Official COBRA SOC. SEC. #EMPLOYEES LAST NAMEFIRST EMAILING
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Step 1: Retrieve the active employee elected official form from your employer or the relevant government department.
02
Step 2: Read the instructions and requirements provided with the form thoroughly.
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Step 3: Fill out your personal details, such as your name, employee ID, contact information, and designation.
04
Step 4: Specify the position you are seeking election for and provide any necessary supporting documents, if required.
05
Step 5: Include a brief statement explaining why you are interested in the position and what qualifications or experience you possess.
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Step 6: Review the completed form for any errors or missing information. Make necessary corrections.
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Step 7: Sign and date the form at the designated space.
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Step 8: Submit the filled-out form to the designated office or individual mentioned in the instructions.
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Step 9: Keep a copy of the completed form for your records.
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Step 10: Follow up with the relevant authority to ensure your form has been received and processed.

Who needs active employee elected official?

01
Active employees who wish to run for an elected official position within their organization or government department.
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Active employee elected official is an individual who currently holds a position as an elected official while also being employed in the public or private sector.
Active employee elected officials are required to file this form.
To fill out the active employee elected official form, individuals must provide information about their elected position, employer, and any potential conflicts of interest.
The purpose of the active employee elected official form is to disclose any potential conflicts of interest that may arise from holding elected office while also being employed.
Information such as the elected position held, employer information, and any conflicts of interest must be reported on the active employee elected official form.
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