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MOSINEE SCHOOL DISTRICT 2017 HEALTH SAVINGS ACCOUNT HSA EMPLOYEE CONTRIBUTION FORM Employee Name Amount to be deducted per pay period in 2017 2017 HSA Limits are 3 400. HSA Financial Institution CoVantage Credit Union HSA Account Number HSA Routing Number 275976655 I authorize Mosinee School District to deduct on a pre-tax basis the above amount from my paycheck beginning on the date noted above. It is my responsibility to ensure that I do not exceed the IRS allowed annual maximum that can be...
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Step 1: Obtain the necessary forms and documents required to fill out the Mosinee School District enrollment form.
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Step 2: Read through the instructions provided with the enrollment form to understand the information that needs to be filled out.
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Step 3: Begin filling out the enrollment form by providing personal details such as the student's name, date of birth, and contact information.
04
Step 4: Provide any additional information required, such as previous school attendance or special educational needs.
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Step 5: Double-check all the information filled out in the form for accuracy and completeness.
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Step 6: Once all the required fields are filled, sign and date the enrollment form.
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Step 7: Submit the completed enrollment form along with any supporting documents to the designated office of the Mosinee School District.
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Step 8: Wait for a confirmation or further instructions from the school district regarding the enrollment process.

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Parents or legal guardians seeking to enroll their child in the Mosinee School District.
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Students who wish to attend schools within the Mosinee School District boundaries.
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Individuals who want to pursue education within the Mosinee School District.
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Mosinee School District is a public school district located in Mosinee, Wisconsin that provides education services to students in the area.
Parents or guardians of students attending schools within the Mosinee School District are required to file district-related paperwork.
To fill out Mosinee School District paperwork, parents or guardians can typically complete forms provided by the district either online or in person.
The purpose of Mosinee School District is to provide quality education and support services to students within the community.
Information such as student demographics, academic progress, attendance records, and emergency contact information must be reported on Mosinee School District paperwork.
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