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2015/2016 BENEFITS ENROLLMENT FORM Please complete all applicable fields, sign and return form to Human Resources unperson, through campus mail, by fax to 5404588060 or through US mail to 204 W. Washington
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How to fill out the 20152016 benefits enrollment form:

01
Start by carefully reading the instructions provided with the form. This will help you understand the requirements and ensure that you provide accurate information.
02
Begin with your personal information, such as your name, address, and contact details. Make sure to fill in all the required fields accurately.
03
Move on to the section for dependent information, if applicable. Provide all the necessary details about your dependents, such as their names, dates of birth, and relationship to you.
04
Next, review the available benefits options and select the ones that best suit your needs. This may include health insurance, retirement plans, flexible spending accounts, and other employee benefits.
05
Pay close attention to any additional documents or forms required for certain benefits. Make sure to attach these documents when necessary.
06
If there are any sections or questions that are not applicable to you, mark them as such or write "N/A" to indicate that they do not apply.
07
Double-check your entries and ensure that all information is accurate and complete. Review your submission before signing and dating the form.
08
Submit the completed form according to the instructions provided. This may involve mailing it to a specified address or submitting it electronically through an online portal.

Who needs the 20152016 benefits enrollment form:

01
Employees who are eligible for benefits provided by their employer during the specified enrollment period.
02
New employees who have recently joined the organization and are required to enroll in benefits for the first time.
03
Existing employees who wish to make changes to their benefit selections or update their information for the 20152016 benefits enrollment period.
04
Employees who experience qualifying life events such as marriage, the birth or adoption of a child, or a change in employment status may also need to fill out this form to update their benefits.
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The 20152016 benefits enrollment form is a document where employees can select and enroll in company benefits for the year 20152016.
All employees who are eligible for benefits from the company are required to file the 20152016 benefits enrollment form.
Employees can fill out the 20152016 benefits enrollment form by providing their personal information, selecting their desired benefits, and signing the form to confirm their choices.
The purpose of the 20152016 benefits enrollment form is to allow employees to review and select the benefits offered by the company for the year 20152016.
Employees must report their personal information, dependent information, benefit selections, and any other required details on the 20152016 benefits enrollment form.
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