Form preview

Get the free LEOFF 1 CLAIM FOR PAYMENT FORM

Get Form
SEND CLAIMS TO: City of Auburn HR Dept. Attn: GEOFF Board Secretary 25 W Main St, Auburn, WA 98001LEOFF 1 CLAIM FOR PAYMENT FORM PART 1: RETIREE (CLAIMANT) INFORMATIONFIRE POLICE Name (Last, First)
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign leoff 1 claim for

Edit
Edit your leoff 1 claim for form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your leoff 1 claim for form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit leoff 1 claim for online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit leoff 1 claim for. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out leoff 1 claim for

Illustration

How to fill out leoff 1 claim for

01
To fill out a LEOFF 1 claim form, follow these steps:
02
Obtain a copy of the LEOFF 1 claim form from the relevant authority or website.
03
Read the instructions provided with the form carefully to understand the requirements.
04
Fill in your personal information accurately, including your name, address, and contact details.
05
Provide details about your employment history as a law enforcement officer or firefighter that entitles you to LEOFF benefits.
06
Include information about any injuries or disabilities you have sustained during your service.
07
If applicable, provide documentation or medical records to support your claim.
08
Review the completed form for any errors or missing information.
09
Sign and date the form.
10
Submit the form to the appropriate authority or address as specified in the instructions.
11
Keep a copy of the completed form for your records.

Who needs leoff 1 claim for?

01
LEOFF 1 claim forms are needed by law enforcement officers (LEOs) and firefighters who are eligible for LEOFF benefits after retirement.
02
Anyone who has served as a law enforcement officer or firefighter and is a member of the Law Enforcement Officers' and Fire Fighters' Retirement System (LEOFF) may need to fill out a LEOFF 1 claim form to claim retirement benefits.
03
These benefits include, but are not limited to, disability benefits, service-connected death benefits, and survivor's benefits for eligible beneficiaries.
04
Therefore, any LEO or firefighter who is eligible for LEOFF benefits and wishes to claim those benefits after retirement needs to fill out a LEOFF 1 claim form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
51 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

It's easy to use pdfFiller's Gmail add-on to make and edit your leoff 1 claim for and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.
The pdfFiller premium subscription gives you access to a large library of fillable forms (over 25 million fillable templates) that you can download, fill out, print, and sign. In the library, you'll have no problem discovering state-specific leoff 1 claim for and other forms. Find the template you want and tweak it with powerful editing tools.
With the pdfFiller Android app, you can edit, sign, and share leoff 1 claim for on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!
LEOFF 1 claim is for retirement benefits for law enforcement officers who served under the Law Enforcement Officers' and Fire Fighters' Retirement System Plan 1.
Former law enforcement officers who were members of LEOFF Plan 1 and are eligible for retirement benefits are required to file a LEOFF 1 claim.
To fill out a LEOFF 1 claim, individuals must complete the appropriate forms provided by the Department of Retirement Systems, ensuring all required information is accurately filled in and submitted.
The purpose of the LEOFF 1 claim is to provide eligible retired law enforcement officers with access to their retirement benefits under the LEOFF Plan 1.
The information required includes personal identification details, service history, and any other documentation supporting the claim for benefits.
Fill out your leoff 1 claim for online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.