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REQUEST TO DECLINE AND WAIVE MEDICAL HEALTH INSURANCE COVERAGE(Medical Buyout) 2008 Enrollment Formosan Enrollment October 1, 2007, October 31, 2007 1. I, as an active benefits eligible employee,
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To decline a request on www.orangecountygov.com/documentcenter/viewrequest, follow these steps:
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You may receive a confirmation message or email stating that the request has been declined.

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wwworangecountygovcomdocumentcenterviewrequest to decline and is a form used to request a decline in certain services.
Individuals who wish to decline specific services must file wwworangecountygovcomdocumentcenterviewrequest.
To fill out wwworangecountygovcomdocumentcenterviewrequest, individuals must provide their personal information and indicate the services they wish to decline.
The purpose of wwworangecountygovcomdocumentcenterviewrequest is to allow individuals to formally decline certain services.
Individuals must report their personal information and the specific services they wish to decline on wwworangecountygovcomdocumentcenterviewrequest.
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