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Fulton County Pension Office
141 Pryor Street SW, Suite 7001
Fulton County Pension Office
Atlanta, GA 30303
141 Pryor Street SW, Suite 7001
Phone:Atlanta,
4046127606
GA 30303
Phone: 4046127606
Email:
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How to fill out tobacco-use attestation pre-65 retirees
How to fill out tobacco-use attestation pre-65 retirees
01
Begin by obtaining the tobacco-use attestation form for pre-65 retirees.
02
Fill out your personal information such as name, date of birth, and employee ID number.
03
Indicate your tobacco use status by checking the appropriate box for either tobacco user or non-tobacco user.
04
Sign and date the form to confirm the accuracy of the information provided.
05
Submit the completed form to the appropriate HR or benefits department.
Who needs tobacco-use attestation pre-65 retirees?
01
Pre-65 retirees who want to accurately report their tobacco use status for health insurance or benefits purposes.
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What is tobacco-use attestation pre-65 retirees?
Tobacco-use attestation pre-65 retirees is a form used to report whether retirees under the age of 65 are tobacco users.
Who is required to file tobacco-use attestation pre-65 retirees?
Pre-65 retirees are required to file tobacco-use attestation form if they are tobacco users.
How to fill out tobacco-use attestation pre-65 retirees?
To fill out the tobacco-use attestation form, retirees need to indicate whether or not they are tobacco users and provide any relevant information as requested.
What is the purpose of tobacco-use attestation pre-65 retirees?
The purpose of tobacco-use attestation form for pre-65 retirees is to gather information on tobacco usage for healthcare and policy purposes.
What information must be reported on tobacco-use attestation pre-65 retirees?
Retirees must report their tobacco usage status and provide any additional information requested on the form.
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