Get the free PI-9412 Part-time Open Enrollment Application

Wisconsin Department of Public Instruction APPLICATION FOR PART TIME PUBLIC SCHOOL OPEN ENROLLMENT PI9412 (Rev. 0718)INSTRUCTIONS: Fill out all information completely and accurately. Missing or inaccurate

How to fill out pi-9412 part-time open enrollment

How to fill out pi-9412 part-time open enrollment

1. To fill out the pi-9412 part-time open enrollment form, follow these steps:
2. Start by providing your personal information, such as full name, address, and contact information.
3. Indicate the employer or company you are associated with and provide necessary details, such as employer identification number.
4. Specify the type of enrollment you are applying for, which is part-time in this case.
5. Fill in the requested information regarding your employment status, including your job title, department, and work schedule.
6. Provide details about your current benefits and any changes you wish to make, such as adding or removing dependents or changing coverage options.
7. Review the completed form for accuracy and make any necessary corrections.
8. Sign and date the form to certify the information provided is true and accurate.
9. Submit the filled-out form as per the instructions provided, whether it is through mail, email, or hand delivery.
10. Following these steps will help you successfully fill out the pi-9412 part-time open enrollment form.

Who needs pi-9412 part-time open enrollment?

1. Employees who are working part-time and are eligible for benefits from their employer need the pi-9412 part-time open enrollment form.
2. This form is specifically designed for part-time employees to enroll in or make changes to their benefits coverage during the open enrollment period.
3. It allows part-time employees to select their desired coverage options, add or remove dependents, and make other relevant changes to their benefits package.
4. Therefore, any part-time employee who wants to enroll in or modify their benefits coverage should use the pi-9412 part-time open enrollment form.

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What is pi-9412 part-time open enrollment?

The pi-9412 part-time open enrollment is a form used by employers to report information about part-time employees.

Who is required to file pi-9412 part-time open enrollment?

Employers with part-time employees are required to file the pi-9412 part-time open enrollment form.

How to fill out pi-9412 part-time open enrollment?

To fill out the pi-9412 part-time open enrollment form, employers need to provide information about their part-time employees, such as hours worked and wages earned.

What is the purpose of pi-9412 part-time open enrollment?

The purpose of the pi-9412 part-time open enrollment form is to track and report part-time employee information for tax and compliance purposes.

What information must be reported on pi-9412 part-time open enrollment?

Employers must report information such as employee names, social security numbers, hours worked, and wages earned on the pi-9412 part-time open enrollment form.