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How to use or fill out ps 404 with our platform
- Click ‘Get Form’ to open the PS-404 in the editor.
- Begin by filling out the Employee Information section (Boxes 1-10). Include your last name, first name, social security number, date of birth, and contact details. Ensure accuracy as this information is crucial for processing your request.
- In Boxes 11(A-B), elect or decline coverage. Choose between Pre-Tax and After-Tax options for premium deductions and select your desired NYSHIP coverage option—Individual or Family Enrollment.
- If you need to change or cancel existing coverage, complete Box 12. Indicate whether you are changing from Individual to Family coverage or vice versa, and provide the relevant qualifying event date.
- For dependent information (Box 13), check whether you are adding, deleting, or changing a dependent's information. Fill in all required details including their relationship and social security number.
- Finally, review all entries for accuracy before signing and dating the form in the Authorization section.
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See more ps 404 versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2020 | 4.8 Satisfied (221 Votes) | |
| 2019 | 4.3 Satisfied (52 Votes) | |
| 2017 | 4.2 Satisfied (78 Votes) | |
| 2017 | 4.4 Satisfied (129 Votes) | |
| 2014 | 4.3 Satisfied (76 Votes) | |
| 2011 | 4.8 Satisfied (49 Votes) | |
| 2007 | 4.6 Satisfied (43 Votes) | |
| 2006 | 4 Satisfied (54 Votes) | |
| 2001 | 4.1 Satisfied (28 Votes) |
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Can I fill out and sign my ps 404 online?
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If you use Chrome, there are two straightforward ways to modify your ps 404 online. First, go to the DocHub site, add your file, and modify it utilizing our toolbar. You can also install our Chrome extension and modify any document by dragging and dropping it in your browser tab.
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