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Rock Island School District No. 41 2101 Sixth Avenue Rock Island, Illinois 61201 SALARY REDUCTION AGREEMENT FOR 125 HEALTH/DEPENDENT CHILD CARE BENEFITS PLAN Part 1. Employee Information: Name: Employee
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Rock Island School District is a school district in Rock Island, Illinois that oversees the educational needs of students within its jurisdiction.
Parents or legal guardians of students attending schools within the Rock Island School District are required to file necessary paperwork and reports.
To fill out Rock Island School District forms, parents or legal guardians can visit the school's website or contact the administrative office for assistance.
The purpose of Rock Island School District is to provide quality education and support services to students within its boundaries.
Information such as student enrollment numbers, attendance records, academic achievements, and any other relevant data must be reported on Rock Island School District forms.
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2011 2012 Illinois 2011through reimbursements certifies incurs taxable Reimbursement supersedes dependents applicable forfeited irrevocable pre herein Enrollment certify Districts participant unused specified agreements modify exceed termination elect RED

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