Form 552-0779 Domestic Partnership Cancellation of Health and Dental Coverage - Iowa

Form 552-0779 Domestic Partnership Cancellation of Health and Dental Coverage - Iowa

What Is Form 552-0779?

This is a legal form that was released by the Iowa Department of Administrative Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 552-0779?
A: Form 552-0779 is used for canceling health and dental coverage for domestic partnerships in Iowa.

Q: Who can use Form 552-0779?
A: This form is for individuals in domestic partnerships in Iowa who want to cancel their health and dental coverage.

Q: What is the purpose of using this form?
A: The purpose of Form 552-0779 is to cancel health and dental coverage for domestic partnerships.

Q: Is Form 552-0779 specific to Iowa?
A: Yes, Form 552-0779 is specific to Iowa and is used for domestic partnerships in the state.

Q: Do I need any other documents to complete Form 552-0779?
A: Yes, you may need to provide supporting documents such as proof of domestic partnership and identification.

Q: Is there a deadline for submitting Form 552-0779?
A: There may be a deadline for submitting the form, so it is recommended to check with the Iowa Department of Administrative Services.

Q: Can I cancel health and dental coverage for my domestic partnership at any time?
A: Yes, you can cancel health and dental coverage for your domestic partnership at any time by completing and submitting Form 552-0779.

Q: What should I do if I have questions or need assistance with Form 552-0779?
A: If you have questions or need assistance with Form 552-0779, you should contact the Iowa Department of Administrative Services.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Iowa Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 552-0779 by clicking the link below or browse more documents and templates provided by the Iowa Department of Administrative Services.

Download Form 552-0779 Domestic Partnership Cancellation of Health and Dental Coverage - Iowa

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