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Spouse s First/Last Name SSN DOB Gender Dependent s First/Last Name Add Drop HR USE ONLY HMA Payroll Halogen I-9 Form Name Changes only H HR GENERAL FORMS Payroll Forms Personal Information Summary rev 11/15. Please provide HR with a new social security card along with this form. DEPENDENTS COVERED BY LIFE INSURANCE For regular benefitted employees only temporary employees are not eligible Please list your spouse dependents under age 26 for the City of Renton provided Life Insurance...

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All employees must complete the required forms and reports as requested by their employer.

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