CMS-L564: Medicare Request for Employment Information and Part B SEP Guide

Learn what Form CMS-L564 is, why SSA and CMS both reference it, who needs it for a Medicare Part B Special Enrollment Period, how Section A and Section B are completed, and where to submit it.

About CMS L564

Learn what Form CMS-L564 is, why SSA and CMS both reference it, who needs it for a Medicare Part B Special Enrollment Period, how Section A and Section B are completed, and where to submit it.

This guide is part of the SSA forms cluster, which is designed to rank for PDF, instructions, and official-form intent while keeping the related fax workflow on the same page.

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Frequently Asked Questions

Where can I get the official CMS L564 PDF?

This guide links to the official PDF and source page for CMS L564 near the top of the page.

Can I fax CMS L564 with Send Fax Pro?

Yes. Send Fax Pro supports document-first fax workflows and this guide explains how to review the official source before sending the packet.