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FORM MUST BE RETURNED TO HUMAN RESOURCES WITHIN 31 DAYS FROM ELIGIBILITY DATE2017 BENEFITS PROGRAM ENROLLMENT/CHANGE FORM (FOR BENEFITS ELIGIBLE EMPLOYEES WORKING 20+ HOURS PER WEEK)Please print clearly

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What is form must be returned?

The form that must be returned is Form XYZ.

Who is required to file form must be returned?

All individuals with XYZ income are required to file Form XYZ.

How to fill out form must be returned?

Form XYZ can be filled out online or mailed in with the required documents.

What is the purpose of form must be returned?

The purpose of Form XYZ is to report XYZ income to the IRS.

What information must be reported on form must be returned?

Form XYZ requires information such as XYZ, XYZ, and XYZ.

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