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GOVERNOR MIFFLIN SCHOOL DISTRICT Name:Waiver Form 2017/2018Social Security Number: _______After careful consideration and review, I elect to waive medical insurance offered to eligible employees by
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The Governor Mifflin School District is a school district located in Pennsylvania, USA.
Employees and contractors of the Governor Mifflin School District are required to file.
The form can be filled out online on the school district's official website.
The purpose is to gather information about employees and contractors for record-keeping and compliance purposes.
Personal information, employment history, and contract details must be reported.
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