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EMPLOYMENT STATUS GROUP NUMBERS DEPT / DIV EFFECTIVE DATE OF COVERAGE / CHANGEActive Employee RetireeMedical 13937 Dental/Vision 010301339EMPLOYEEDEPENDENT(S)SOC. SEC. # EMPLOYEES LAST NAME FIRST
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DEPT / DIV template instructions

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Dept div stands for Department of Diversity and Inclusion.
All employees are required to file dept div.
Dept div can be filled out online through the company's employee portal.
The purpose of dept div is to track diversity and inclusion efforts within the organization.
Information such as demographic data, hiring practices, and employee resource groups must be reported on dept div.
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