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Human Resources Department 10 East South Street, Suite A, WilkesBarre, PA 18766 570 408 3356 Fax 570 408 7879CHANGE OF ADDRESS AND OTHER PERSONAL INFORMATIONEmployee Name: WIN # Please make the following
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How to fill out benefits information and forms

How to fill out benefits information and forms
01
Start by gathering all necessary documentation, such as social security numbers, birth certificates, and previous benefits information.
02
Review the instructions provided with the benefits information and forms to ensure you understand the requirements and eligibility criteria.
03
Complete each section of the form accurately and thoroughly, providing all requested information.
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If you have any questions or need assistance, contact the appropriate agency or department.
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Follow any specific submission instructions, whether it's mailing the forms to a particular address or submitting them online.
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Keep track of the date and method of submission to ensure you have a record of your application.
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If required, make sure to provide any supporting documents or evidence to accompany your benefits application.
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Follow up with the agency or department to confirm receipt of your application and inquire about the next steps in the process.
Who needs benefits information and forms?
01
Individuals who are eligible for and seeking government benefits, such as Social Security, Medicare, Medicaid, disability benefits, unemployment benefits, welfare, or other assistance programs.
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Claimants or applicants who want to apply for or renew benefits to ensure their continued eligibility or to access available services and resources.
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Employers or human resources personnel responsible for providing benefits information or assisting employees with benefits enrollment.
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Beneficiaries or recipients of benefits who need to update their information, report changes, or clarify any issues related to their benefits.
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Anyone involved in the administration or processing of benefits applications, including government employees, caseworkers, or service providers.
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