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Enrollment Application For VRS Optional Group Life Insurance A Minnesota Life Insurance Company - A Securian Company Richmond Branch Office P. O. Box 1193 Richmond VA 23218-1193 Employer code 5 digits A Phone 1-800-441-2258 Employer name Employee s annual salary 1 - EMPLOYEE INFORMATION Social Security number Street address Sex Male Female VRS-39 abcd Clear Form City Married Age Single State Date of birth mo/day/yr Employment date mo/day/yr Zip c...
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What is vrs 39 form?
VRS 39 form is a document used for reporting certain information related to a specific regulation.
Who is required to file vrs 39 form?
The individuals or entities specified in the regulation are required to file VRS 39 form.
How to fill out vrs 39 form?
To fill out VRS 39 form, you need to provide the requested information in the designated sections of the form.
What is the purpose of vrs 39 form?
The purpose of VRS 39 form is to collect and report specific information as required by the regulation.
What information must be reported on vrs 39 form?
The specific information that must be reported on VRS 39 form is specified in the regulation itself.
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