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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 5
for the current year.
Form 5 Irrevocable Contributory Election Form - Arkansas
What Is Form 5?
This is a legal form that was released by the Arkansas Teacher Retirement System - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 5 Irrevocable Contributory Election Form?
A: Form 5 Irrevocable Contributory Election Form is a document used in Arkansas to make an irrevocable election regarding insurance coverage.
Q: What is the purpose of Form 5 Irrevocable Contributory Election Form?
A: The purpose of this form is to allow an individual to elect their insurance coverage options in a contributory insurance plan.
Q: Who needs to fill out Form 5 Irrevocable Contributory Election Form?
A: Any individual who is eligible for insurance coverage under a contributory insurance plan in Arkansas needs to fill out this form.
Q: Is the election made on Form 5 Irrevocable Contributory Election Form permanent?
A: Yes, the election made on this form is irrevocable and cannot be changed in the future.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Arkansas Teacher Retirement System;
- 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 printable version of Form 5 by clicking the link below or browse more documents and templates provided by the Arkansas Teacher Retirement System.
