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Participant Fiscal Employer Agent (FEA) – Transfer Request (DocuSign)

Assigned Number Title Release Date File Type Language Available to Order
F-02764 Participant Fiscal Employer Agent (FEA) – Transfer Request (DocuSign) 10/22/2024 HTML English No
F-02764CM IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Chinese (Simplified) 10/22/2024 Word Chinese (Simplified) No
F-02764AR IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Arabic 10/22/2024 Word Arabic No
F-02764 IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal 10/22/2024 Word English No
F-02764R IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Russian 10/22/2024 Word Russian No
F-02764LP IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal (Large Print) 10/22/2024 Word English No
F-02764H IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Hmong 10/22/2024 Word Hmong No
F-02764S IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Spanish 10/22/2024 Word Spanish No
F-02764SE IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Serbo-Croatian 10/22/2024 Word English No
F-02764SO IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Somali 10/22/2024 Word Somali No
F-02764L IRIS (Include, Respect, I Self-Direct) Fiscal Employer Agent (FEA) — Transfer Request or Withdrawal, Laotian 10/22/2024 Word Laotian No

Glossary

 
Last revised May 16, 2025