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W-4 Form for Vacaville California: What You Should Know

Click on the form above. Form W-3 (for workers who were not covered by a collective bargaining agreement) — Fulfillment Services (FES) Complete Form W-3 to determine eligibility. Form W-3 (for employees who lost coverage from the employer) — FES Complete Form W-3 to request replacement coverage if you were no longer covered by an eligible employer, or to request an application to enroll in other types of coverage provided for under your current plan and/or a plan being provided in place of your previous plan. The city of Vacaville in San Joaquin County provides the information that the Form W-3 will need. It will tell you if your request for a replacement policy should be sent to the City, or if you must send the request to your current insurer to enroll yourself. For example, if your replacement has been denied, and you were previously enrolled, you may have one or more other health plans from one or more companies. Your replacement policy will list your new plans. The city of Vacaville will let you know if your request should be sent to the City for collection or to the insurer. Form W-5 (for employees who lost coverage from other employers): FES Complete Form W-5 to determine eligibility. Form W-5 (for employees who lost coverage from other employers): FES If your claim for insurance was denied due to the failure of the previous employer to submit the insurance information, complete Form W-5 to request replacement coverage. Please note that if you are filing the Form W-5 in your own name, you are eligible to claim an exclusion for the premium tax liability related to the previous insurance policy that is the cause of the loss. The City of Vacaville will tell you if your claim is eligible if your request is sent to the City for collection. Form W-6 (for new employee): FES Complete Form W-6 to request compensation based for the period of employment beginning before or after you left your previous employment. The City of Vacaville advises you to notify your former employer that it is time to file an income tax petition. You must provide the name and address of your former employer.

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