Get the free Discontinuation of PDA Form - Mass.Gov - mass

Commonwealth of Massachusetts DISCONTINUATION OF AUTHORIZATION FOR PAYROLL DEDUCTION FOR INSURANCE OR OTHER EMPLOYEE BENEFITS Agency/Dept: Bargaining Unit: Full Name (First, Last, MI): (Please print)

How to fill out discontinuation of pda form

How to Fill Out Discontinuation of PDA Form:

1. Obtain the discontinuation of PDA form from the appropriate authority or organization.
2. Begin by providing your personal information, including your full name, address, contact number, and email address.
3. Specify the reason for discontinuing the PDA, whether it is due to a change in employment, retirement, or any other valid reason.
4. Indicate the date on which you wish to discontinue the PDA. Make sure to specify a future date if you want the discontinuation to take effect at a later time.
5. If applicable, provide the details of the organization or employer you are discontinuing the PDA with, such as the company name, address, and contact information.
6. State whether you have any outstanding obligations or responsibilities that need to be resolved before discontinuing the PDA. If there are any, mention them in detail and explain your plan to fulfill them.
7. Sign and date the form to validate your application for discontinuing the PDA.
8. Submit the completed form to the appropriate authority or organization as instructed, making sure to keep a copy for your records.

Who needs discontinuation of PDA form?

1. Employees who are leaving their current employment and no longer require a Personal Digital Assistant (PDA) device provided by their employer.
2. Individuals who have retired or are transitioning to a different phase of life where the use of a PDA is no longer necessary.
3. Any individual who has been using a PDA but wants to discontinue its use for any other valid reason, such as a change in technology preference or personal circumstances.

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What is discontinuation of pda form?

Discontinuation of pda form is a form used to inform authorities about the termination or closure of a Public Display of Affection (PDA) program or initiative.

Who is required to file discontinuation of pda form?

Any organization or individual who has previously filed for a PDA program and wishes to discontinue it must file the discontinuation form.

How to fill out discontinuation of pda form?

The discontinuation of pda form can typically be filled out online or submitted in person to the relevant authority, providing details about the program being discontinued.

What is the purpose of discontinuation of pda form?

The purpose of the discontinuation of pda form is to officially notify the authorities and the public about the end of a PDA program, ensuring transparency and accountability.

What information must be reported on discontinuation of pda form?

The form may require details such as the name of the program, reasons for discontinuation, effective date of closure, and contact information of the filer.