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Enrollment Form DOMINION DIRECT ENROLLMENT FORM (rev. 09/14) QUESTIONS? Dominion Resources, Inc. Shareholder Services P. O. Box 26532 Richmond, VA 23261 Call 1-800-552-4034 or (804) 775-2500 Richmond
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How to fill out dominion direct enrollment form

How to fill out a Dominion Direct Enrollment form:
01
Start by gathering all the necessary information. You will need personal details such as your full name, address, social security number, and contact information. Additionally, have your employer information, income details, and any dependent information handy.
02
Carefully read through the instructions provided with the form. Make sure you understand each section and the required information.
03
Begin filling out the form by entering your personal details in the designated spaces. Double-check for any spelling or numerical errors.
04
Provide your employment information, including your employer's name, address, and contact information. You may also need to provide details about your job title, work schedule, and income.
05
If you have any dependents, indicate their names, relationships, and other required information. This step is crucial if you wish to enroll them in any benefit programs.
06
Review the completed form to ensure accuracy. Check that all the sections have been completed and that there are no missing or incorrect entries.
07
Sign and date the form where indicated. This is typically required to certify that the information provided is accurate and complete.
Who needs a Dominion Direct Enrollment form:
01
Employees who want to enroll in the benefit programs offered by Dominion may need to fill out the Direct Enrollment form. These benefits can include health insurance, dental insurance, vision insurance, retirement plans, and more.
02
Employees who experience any life-changing events, such as marriage, divorce, birth, adoption, or a change in employment status, may also be required to fill out a Direct Enrollment form to update their benefit information.
03
New employees who have recently been hired by a company that offers Dominion benefits may need to fill out the form as part of the onboarding process.
Overall, anyone seeking to enroll in or make changes to their Dominion benefit plans should complete the Direct Enrollment form according to the provided instructions.
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What is dominion direct enrollment form?
Dominion direct enrollment form is a form used to enroll directly with Dominion, typically for electricity or gas services.
Who is required to file dominion direct enrollment form?
Anyone looking to switch their electricity or gas services to Dominion may be required to file the direct enrollment form.
How to fill out dominion direct enrollment form?
To fill out the dominion direct enrollment form, you will need to provide your personal information, contact details, current service provider information, and account number.
What is the purpose of dominion direct enrollment form?
The purpose of the dominion direct enrollment form is to officially enroll with Dominion for electricity or gas services.
What information must be reported on dominion direct enrollment form?
The dominion direct enrollment form requires information such as personal details, contact information, current service provider, and account number.
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