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CERTIFICATED SELF
BROCHURE
www.sausd.us/benefits
benefits@sausd.us
P (714) 5585686
F (714) 5585682
1601 E Chestnut Ave
Santa Ana, CA 92701010203Plan Changes Is EligibleOpen EnrollmentMedical HMO Plans
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How to fill out benefits forms
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Individuals who are eligible for benefits such as social assistance, medical coverage, or financial aid.
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What is benefits forms?
Benefits forms are documents used to apply for or report eligibility for various benefits such as health insurance, retirement plans, or social security.
Who is required to file benefits forms?
Employees who are eligible for benefits offered by their employer are required to file benefits forms to enroll in these programs.
How to fill out benefits forms?
To fill out benefits forms, individuals should carefully read the instructions provided on the form, gather all necessary information, and accurately complete all sections.
What is the purpose of benefits forms?
The purpose of benefits forms is to collect information needed to determine eligibility for benefits and to enroll individuals in these programs.
What information must be reported on benefits forms?
Typically, benefits forms require information such as personal details, employment history, dependents' information, and election of benefits.
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