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Vendor Fiscal/Employer Agent (VF/EA) Financial Management Services (FMS) Qualified Support Service Worker (SSW) Information Change/Termination Form INSTRUCTIONS The Common Law Employer (CLE) must
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How to fill out ssw information changetermination form

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How to Fill Out SSW Information Change/Termination Form:

01
Obtain the form: The SSW information change/termination form can typically be found on your company's intranet or HR website. If you cannot locate it, reach out to your HR department for assistance.
02
Personal information: Start by entering your full name, employee ID, and contact information in the designated sections of the form. It's crucial to provide accurate and up-to-date information to ensure seamless processing.
03
Reason for change/termination: Indicate whether you are making changes to your current SSW information or if you are terminating your SSW altogether. Be clear and concise in explaining the reason for this change or termination.
04
Effective date: Specify the date on which the changes or termination will take effect. This information helps the HR department align their records accurately.
05
Supporting documentation: If applicable, attach any necessary documentation to support the change or termination. This might include marriage certificates, divorce decrees, legal name change documents, etc. Be sure to review the form's instructions for the required supporting materials.
06
Supervisor/manager approval: Obtain the necessary signatures and approvals from your supervisor or manager. Their endorsement validates the accuracy and legitimacy of the changes or termination.
07
Submit the form: Once all the required sections are completed and supporting documents attached, submit the form to the designated HR personnel or department. Follow any additional instructions provided by your organization for submission.

Who needs SSW Information Change/Termination Form:

01
Employees changing personal information: If you need to update your SSW information due to changes in your name, address, phone number, marital status, or any other relevant personal details, you will need to fill out this form.
02
Employees terminating their SSW: When an employee plans to terminate their SSW benefits, they are required to complete this form. This might occur when the employee no longer qualifies for the program or is leaving the company.
03
HR personnel: The HR department uses the SSW information change/termination form to accurately maintain employee records and ensure that benefits packages are appropriately administered. They need this form to process any updates or terminations efficiently.
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