Form CMS-L564S. Solicitud De InformaciГіn Sobre El Empleo

Form CMS-L564S - Solicitud De InformaciГіn Sobre El Empleo is the Spanish version of Form CMS-L564. Just like its English counterpart, its primary purpose is to request employment information. It is used by Spanish-speaking individuals to provide employment information for their Medicare Part B application, ensuring accurate details for eligibility determination.

For example, if you are a Spanish-speaking individual applying for Medicare Part B based on your current employment, you would use this form. The goal is to gather precise employment information to determine eligibility for medical coverage.

The parties involved in this process are the same as in Form CMS-L564, and the form's structure mirrors the English version. It consists of sections for the applicant's information and the employer's information, including a certification section for the employer to complete.