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GENENTECHFormer Participant Claim Form If you were a participant in a defined contribution 401(k) retirement plan known as the U.S. Roche 401(k) Savings Plan (the Plan) from October 2, 2014, through
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How to fill out former participant claim form

01
Obtain a copy of the former participant claim form from the appropriate source.
02
Fill in your personal information accurately, including your full name, address, and contact details.
03
Provide information about your previous participation, such as the program name, dates of participation, and reason for filing a claim.
04
Attach any relevant supporting documents, such as proof of participation or communication with the program provider.
05
Review the completed form for accuracy and completeness before submitting it.

Who needs former participant claim form?

01
Individuals who have previously participated in a program or activity and have a valid claim to file against the program provider.
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The former participant claim form is a document that allows individuals who previously participated in a retirement plan to claim benefits or distributions from that plan.
Individuals who were participants in a retirement plan but are no longer active participants and wish to claim their benefits are required to file the former participant claim form.
To fill out the former participant claim form, ensure you provide accurate personal information, including your name, address, social security number, details about your previous employment, and any relevant plan information as instructed in the form.
The purpose of the former participant claim form is to formally request the disbursement of retirement benefits or to acknowledge a claim to pension benefits from a retirement plan.
You must report personal identification details, employment history, plan identification numbers, the reason for the claim, and any relevant supporting documentation as specified in the form.
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