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PAYROLL DEDUCTION AUTHORITY (PDA)ESTABLISHED 1905PLEASE GIVE A COPY OF THIS PDA TO YOUR PAYROLL OFFICE AS WELL AS A COPY TO the APS BENEFITS group STEP 1 YOUR PERSONAL DETAILS TITLEGIVEN NAMEPREFERRED

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How to fill out aps-benefits-enrollment-and-change-form-eff-01

01

Visit the APS benefits enrollment and change form (EFF-01) website

02

Download and print the form

03

Fill out your personal information such as name, address, and employee ID number

04

Choose the benefits you wish to enroll in or change

05

Provide any additional required information or documentation

06

Review the form for accuracy and completeness

07

Sign and date the form

08

Submit the form to the appropriate HR department

Who needs aps-benefits-enrollment-and-change-form-eff-01?

01

Employees of APS who wish to enroll in or make changes to their benefits

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What is aps-benefits-enrollment-and-change-form-eff-01?

The APS Benefits Enrollment and Change Form (EFF-01) is a document used to enroll in or make changes to employee benefit plans within an organization.

Who is required to file aps-benefits-enrollment-and-change-form-eff-01?

Employees who wish to enroll in benefits or make changes to their existing benefits coverage are required to file the form.

How to fill out aps-benefits-enrollment-and-change-form-eff-01?

To fill out the form, employees must provide personal information, details of the benefits they wish to enroll in or change, and any necessary supporting documentation.

What is the purpose of aps-benefits-enrollment-and-change-form-eff-01?

The purpose of the form is to facilitate the enrollment process and changes to employee benefits, ensuring accurate and updated benefits records.

What information must be reported on aps-benefits-enrollment-and-change-form-eff-01?

The form requires personal information such as name, employee ID, contact details, and specific benefits being enrolled in or modified.

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