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IB03 10/14 STATE EMPLOYEES MEMBERSHIP STATUS CHANGE SUBSCRIBER INFO CONTRACT NUMBER: EFFECTIVE DATE OF CHANGE: Month/Day/Year Name (First, Middle Initial, Last) Cancel Subscribers coverage (part-time
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How to fill out state employee s membership
How to fill out state employee s membership
01
Step 1: Obtain the state employee membership form from your HR department.
02
Step 2: Read the instructions and requirements carefully.
03
Step 3: Fill out the personal information section, including your full name, address, and contact details.
04
Step 4: Provide your employee identification number and work department details.
05
Step 5: Indicate your preferred membership type and choose any additional benefits or services.
06
Step 6: Attach any necessary documents, such as proof of employment or identification.
07
Step 7: Review the form to ensure all information is accurate and complete.
08
Step 8: Sign and date the membership form.
09
Step 9: Submit the completed form to your HR department or the designated person.
10
Step 10: Wait for confirmation of your state employee membership.
Who needs state employee s membership?
01
State employees who wish to access exclusive benefits and services.
02
Newly hired state employees who are required to join the state employee membership program.
03
Current state employees who want to avail of additional perks and resources.
04
State employees who want to participate in professional development programs and workshops.
05
State employees who want to contribute to the collective voice and representation of state workers.
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