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Benefit Application & Change Form County of Imperial Only Accepted with Required Documentation ? New Enrolled ? Change of Status (Section A, B, & E only) ? Bargaining Unit Change (Section A & D) Employee

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Benefit application amp change refers to the process of applying for and making changes to a benefits program.

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Any individual or company who is eligible for a benefits program and wishes to apply or make changes to their existing benefits must file a benefit application amp change.

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The purpose of benefit application amp change is to allow individuals or companies to apply for benefits or make changes to their existing benefits in order to receive financial assistance or other forms of support.

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The information required on a benefit application amp change typically includes personal details, income information, employment details, and any necessary supporting documentation.

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