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California Region Group Enrollment/Change Form Please print or type in black ink only. See instructions on reverse before completing this form. Make a copy for your records. TO BE COMPLETED BY EMPLOYER
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What is new group yes no?
New group yes no refers to a designation indicating whether a group is new or not.
Who is required to file new group yes no?
Entities or individuals forming a new group are required to file new group yes no.
How to fill out new group yes no?
To fill out new group yes no, simply indicate whether the group is new or not.
What is the purpose of new group yes no?
The purpose of new group yes no is to provide information regarding the status of a group as new or existing.
What information must be reported on new group yes no?
The only information required to be reported on new group yes no is whether the group is new or not.
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