Past 5 Years Work History Form - Tufts Health Plan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your current employer's name in the 'Employer Name' field. Ensure you list your current employer first, followed by previous employers in chronological order.
3. For each employer, fill in the 'Start Month & Year' and 'End Month & Year' fields using the mm/yy format. If you are currently employed, indicate this by writing 'present' in the end date field.
4. If there are any gaps in your employment history exceeding five months, provide a brief explanation in the designated section. You can attach additional sheets if necessary.
5. Lastly, enter your graduate school graduation date if applicable. Remember, if your graduation date is within the last five years, you do not need to document positions prior to graduation.

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