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County of Sonoma Retiree Medical Benefits Enrollment Form Confidential Information County Use Only Press Hard-Please print clearly Health Effective Date: Enrollment -New Retiree: Retirement Effective:
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How to fill out county of Sonoma retiree:

01
Gather all necessary documents such as identification, retirement plan details, and any supporting documents required by the county.
02
Start by providing personal information such as your name, address, contact details, and social security number.
03
Fill in details about your retirement plan, including the name of the plan, the date of retirement, and the amount of your retirement benefits.
04
Provide any additional information requested by the county, such as your employment history, spouse's information, and beneficiary details.
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Review the form for accuracy and completeness before submitting it. Make sure all required fields are filled out, and double-check the information provided.
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Sign and date the form in the appropriate sections.
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Submit the filled-out form according to the instructions provided by the county. This may involve mailing it, dropping it off in person, or submitting it online.

Who needs county of Sonoma retiree?

01
County of Sonoma retirees who are eligible to receive retirement benefits from the county.
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Individuals who have retired from employment with the county and are seeking to receive the retirement benefits they are entitled to.
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Current county employees who are approaching retirement and need to complete the necessary paperwork to initiate the retirement process.
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County of Sonoma retiree is a form that retired employees of the County of Sonoma must complete and file.
Retired employees of the County of Sonoma are required to file the county of Sonoma retiree form.
The county of Sonoma retiree form can be filled out physically or electronically, following the instructions provided on the form.
The purpose of the county of Sonoma retiree form is to report income and retirement benefits received by retired employees of the County of Sonoma.
Information such as income, retirement benefits, and any other relevant financial details must be reported on the county of Sonoma retiree form.
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