2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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Sign the form
Add your electronic signature to the fillable CPT30 form to certify it came directly from you.
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How to fill out a CPT30 online?
Follow these steps to complete your CPT30 form online.
Step 01
Access the form in the PDF editor.
Step 02
Fill out Parts A, B, and C accurately.
Step 03
Submit a copy of the completed form to your employer.
Step 04
The election will take effect on the first pay date of the month after submission.
Step 05
Retain a copy for your personal records.
What is a CPT30 used for?
Who needs to fill out a CPT30 form
Do I need to provide a copy of the completed form to my employer?
What if I have multiple employers?
How long should my employer keep the CPT30 form?
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