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Get the Sign Tobacco-free Affidavit during Open Enrollment - IU Today

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INDIANA UNIVERSITYTobaccoFree Affidavit2025 PLAN YEAR (JANUARY 1 DECEMBER 31, 2025) This affidavit is for the 2025 plan year only. To receive the monthly reduction in your 2025 medical plan premium,
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The sign tobacco affidavit is a formal declaration required to verify compliance with tobacco regulations, including proof of purchase and usage.
Individuals or businesses involved in the sale, distribution, or use of tobacco products are typically required to file this affidavit.
To fill out the sign tobacco affidavit, provide your personal or business information, details about the tobacco products, and sign the document as required.
The purpose of the affidavit is to ensure adherence to legal requirements regarding tobacco sales and usage, aiding in regulatory compliance.
The affidavit must include your name, address, the type and quantity of tobacco products, and the date of purchase or usage.
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