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GEOFF Health & Welfare Trust Office 4407 N. Division, Suite 516 Spokane, WA 99207 Phone Number: 5094842388MEMBER ENROLLMENT AND CHANGE APPLICATION1. GROUP INFORMATION (to be completed by the group)Group
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How to fill out leoff custom erollment formcopy

01
To fill out the LEOFF custom enrollment form, follow these steps:
02
Obtain the enrollment form from the LEOFF website or through your employer.
03
Read the instructions on the form carefully to understand the required information.
04
Fill in your personal details such as full name, address, date of birth, and contact information.
05
Provide your employment information including your current employer, position, and start date.
06
Indicate your desired coverage options and beneficiaries.
07
If you have any previous pension or retirement accounts, disclose this information.
08
Review the completed form to ensure all information is accurate and complete.
09
Sign and date the form at the designated place.
10
Make a copy of the filled-out form for your records.
11
Submit the original form to the appropriate LEOFF office or your employer as instructed.
12
Note: It is recommended to consult with a professional or contact the LEOFF office directly for any specific questions or concerns.

Who needs leoff custom erollment formcopy?

01
LEOFF custom enrollment formcopy is needed by individuals who are eligible for the Law Enforcement Officers' and Fire Fighters' Retirement System (LEOFF) and wish to enroll in the custom enrollment program.
02
This form allows eligible participants to provide necessary information for enrollment, choose coverage options, designate beneficiaries, and disclose any previous retirement accounts.
03
It is important for those who are eligible for LEOFF and wish to enroll in the custom enrollment program to accurately complete this form in order to participate in the retirement system and access its benefits.
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LEOFF Custom Enrollment Formcopy is a form used to enroll in a LEOFF retirement plan.
LEOFF members who are eligible to enroll in the plan are required to file the form.
The form can be filled out online or submitted in person at the LEOFF office.
The purpose of the form is to officially enroll in the LEOFF retirement plan.
The form requires personal information such as name, address, social security number, and beneficiary designation.
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