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New Milford Public Schools Flexible Spending and Dependent Daycare Election Form EMPLOYEEINFORMATION:(CompletedbyEmployee)ENROLLMENTINFORMATION:(CompletedbyHR)Name:DateofPlanEntry:Email:DateofFirstPayrollDeduction:SSN:AssignedPayrollSchedule:Address:TotalNumberofPayPeriods:City:MED/DEPDateofHire:State:Opcode:Phone:Homework

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