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FAMILY SERVICES OF KING COUNTY FLEXIBLE SPENDING ACCOUNTS ENROLLMENT FORM PLAN YEAR JANUARY 1, 2008, through DECEMBER 31, 2008, Section I Employee Information Last Name, First Name Employee SSN Address

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4. Provide your current address, including the street name, city, state, and postal code.
5. If applicable, indicate your marital status, spouse's information, and any dependents you have.
6. Proceed to supply your income details, including sources of income, employment status, and any additional earnings.
7. If you are an employee, you will likely need to input your employer's details, such as their name, address, and contact information.
8. If you receive any government benefits, welfare, or assistance, indicate this information in the relevant section.
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This form is used for enrolling in a financial aid program instantly.

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Students who are looking to apply for financial aid are required to file this form.

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Personal and financial information must be reported on this form.

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