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Get the free NPS Form 10-930 (Rev. 08/2021) - National Park Service

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NPS Form 10930 (Rev. 08/2021) National Park Service OMB Control No. 10240026 Expiration Date 11/30/2023APPLICATION FOR SPECIAL USE PERMIT HAWAII VOLCANOES NATIONAL PARK PO BOX 52 One Crater Rim Drive
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How to fill out nps form 10-930 rev

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How to fill out nps form 10-930 rev

01
To fill out NPS form 10-930 rev, follow these steps:
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Begin by entering the name of the employee or annuitant in the 'Employee's First Name', 'Employee's Middle Initial', and 'Employee's Last Name' fields.
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Next, provide the employee or annuitant's Social Security Number in the corresponding field.
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In the 'Date of Birth' section, enter the employee or annuitant's birth date using the format MM/DD/YYYY.
05
Fill out the 'Agency Name and Code' and 'Agency Address' fields with the relevant information.
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Proceed to complete the 'Phone (Primary)' and 'Phone (Secondary)' sections with the appropriate contact numbers.
07
In the 'Email Address' field, input the email address of the employee or annuitant.
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Provide the name of the designated beneficiary in the 'Beneficiary's First Name', 'Beneficiary's Middle Initial', and 'Beneficiary's Last Name' fields.
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Enter the beneficiary's Social Security Number in the corresponding field.
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Fill out the 'Date of Birth' section for the beneficiary using the format MM/DD/YYYY.
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Indicate the relationship between the employee or annuitant and the beneficiary by selecting the appropriate option from the provided choices.
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Finally, review the completed form for accuracy and sign it in the 'Signature of Employee or Annuitant' field.
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Note: There may be additional sections or fields on the form depending on specific circumstances. Ensure that all required fields are filled out accurately and completely.

Who needs nps form 10-930 rev?

01
NPS form 10-930 rev is needed by federal employees or annuitants who wish to designate a beneficiary for their benefit claims. It is used to specify who will be entitled to receive benefits in case of the employee's or annuitant's death.
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NPS Form 10-930 rev is a form used for reporting information related to certain retirement plans.
Employers who sponsor retirement plans covered by the form are required to file NPS Form 10-930 rev.
NPS Form 10-930 rev can be filled out manually or electronically following the instructions provided by the IRS.
The purpose of NPS Form 10-930 rev is to report information about retirement plans to the IRS.
Information such as plan sponsor details, plan participant information, contributions, distributions, and other relevant data must be reported on NPS Form 10-930 rev.
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