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Clear Footprint Form400 W. 1ST STREET KENDALL HALL ROOM 213 Benefit Enrollment/ CHICO, CA 959290010 5308985436 Change Worksheet FAX: 5308984364 You have the option to voluntarily decline benefits
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01
Begin by downloading the filliocsu-chico-benefit-enrollment-worksheetfill - csu chico form from the official CSU Chico website.
02
Open the downloaded form using a PDF reader or editing software.
03
Enter your personal information into the designated fields, such as your name, employee ID, and contact details.
04
Provide the necessary information regarding your current benefit selections and any changes you wish to make for the upcoming enrollment period.
05
Double-check all the entered information to ensure accuracy and completeness.
06
Save the filled-out form on your computer or device.
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If required, print a hard copy of the form for submission or keep the digital version for online submission.
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Submit the completed form according to the instructions provided by CSU Chico, whether it be through mail, email, or online submission.

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Anyone who is an employee or beneficiary of CSU Chico's benefit program needs to fill out the filliocsu-chico-benefit-enrollment-worksheetfill - csu chico form. This includes both new employees enrolling in benefits for the first time and existing employees who wish to make changes to their benefit selections during the enrollment period.
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This is a form used by CSU Chico employees to enroll in benefits offered by the university.
All CSU Chico employees who are eligible for benefits must fill out this form.
Employees must provide their personal information, select the benefits they wish to enroll in, and sign the form.
The purpose of this form is to allow employees to enroll in the benefits provided by CSU Chico.
Employees must report their personal information, dependent information, and the benefits they wish to enroll in.
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