WPS Request for Information 2026

1. Click ‘Get Form’ to open the WPS Request for Information in the editor.
2. Begin by filling in the employer's name, group number, contact person, and address details. Ensure accuracy as this information is crucial for processing.
3. In the section regarding involuntary termination, provide the necessary employee details including their name, last known billing address, telephone number, social security number, and date of termination. This data is essential for compliance with state law.
4. Review the certification statements regarding COBRA eligibility. If applicable, check 'Yes' or 'No' and proceed accordingly.
5. Complete the personal information section for employees applying for assistance eligibility. Ensure all fields are filled accurately to avoid delays.
6. Finally, sign and date the form before submitting it via fax to ensure it reaches WPS promptly.

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