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Affirmative Election Forfeiture TO COMPLETE & RETURN THIS FORM WILL RESULT IN A CHANGE TO YOUR BENEFITSEmployer Name: EMPLOYEE/PARTICIPANT INFORMATION Please PRINT and fill this section out COMPLETELY
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Who needs affirmative election form?

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Anyone who wishes to make an affirmative election or choice in a particular matter.
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The affirmative election form is a document that allows eligible individuals or entities to elect certain benefits, privileges, or programs provided by a governing body or organization.
Typically, individuals or entities that wish to opt for specific benefits or programs governed by regulations or guidelines are required to file the affirmative election form.
To fill out the affirmative election form, you need to provide personal or organizational information, indicate your choice of benefits or programs, and sign the form to confirm your election.
The purpose of the affirmative election form is to facilitate the exercise of options regarding participation in specific programs or benefits, ensuring that the choices made are officially documented.
Information required on the affirmative election form typically includes the name of the individual or organization, contact information, the benefits being elected, and any necessary signatures.
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