Get the free Continuation Election Form - PacificSource

GROUP COVERAGE CONTINUATION ELECTION FORM PacificSource Health Plans Membership Department PO Box 7068 Springfield, OR 97475-0068 (For Oregon groups with 19 or fewer employees) This form is to be

How to fill out continuation election form

How to fill out continuation election form:

1. Start by obtaining the continuation election form from the appropriate government agency or organization. It may be available online or in physical format.
2. Carefully read the instructions provided along with the form. Familiarize yourself with the requirements, eligibility criteria, and any supporting documentation that may be needed to complete the form accurately.
3. Fill in your personal information in the designated fields. This usually includes your name, contact information, and any identification numbers or codes that may be required.
4. Provide details about the election you are continuing. This could include the year or period of the election, the type of election, and any relevant identification or reference numbers.
5. If necessary, include any additional information or attachments that may be required. This could include supporting documents, explanations, or declarations related to the continuation election.
6. Review the completed form thoroughly to ensure all sections are filled out correctly and all necessary information is provided. Make any necessary corrections or changes before submitting the form.
7. Sign and date the form as required. This may involve obtaining signatures from other parties involved in the election or authorization process.
8. Make copies of the completed form for your records before submitting it.

Who needs continuation election form:

1. Individuals or entities who wish to continue or extend the validity of a previous election made with a government agency or organization may need to fill out a continuation election form.
2. This form is typically required when an election has a predetermined expiration date or if there are specific conditions for continuing the election beyond its initial term.
3. Common examples of organizations or individuals who may need to fill out a continuation election form include political parties, business entities, employee benefit plans, or any person or group that has previously elected a specific option that requires periodic renewal or extension.

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What is continuation election form?

The continuation election form is a document used to declare an individual's intention to continue their participation in a specific election or candidacy.

Who is required to file continuation election form?

Candidates or individuals who wish to continue their participation in an election or candidacy are required to file the continuation election form.

How to fill out continuation election form?

The continuation election form can typically be filled out online or by mail, providing required information such as personal details, election or candidacy information, and signature.

What is the purpose of continuation election form?

The purpose of the continuation election form is to ensure that candidates or individuals officially declare their intent to continue their participation in an election or candidacy.

What information must be reported on continuation election form?

Information such as personal details, election or candidacy information, and signature must be reported on the continuation election form.