Get the free Enrollment and Change Form - City of Chicago, 7533d625286a.pdf - cityofchicago
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What is enrollment and change form?
Enrollment and change form is a document used to update or enroll in a new benefit plan, program or service.
Who is required to file enrollment and change form?
Employees who want to make changes to their benefit plan or enroll in a new plan are required to file an enrollment and change form.
How to fill out enrollment and change form?
To fill out an enrollment and change form, the employee must provide their personal information, select the desired changes or new plan, and submit the form to the HR department.
What is the purpose of enrollment and change form?
The purpose of the enrollment and change form is to allow employees to update their benefit plans or enroll in new programs as needed.
What information must be reported on enrollment and change form?
The enrollment and change form must include personal information, current benefit plan details, desired changes, and any supporting documentation.
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