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ACADEMIC Health and Welfare Selection Form Effective 1/1/2020 12/31/2020Check this box if you are NOT making changes and sign at the bottom of page 2. *Waivers see belowDepartment: EMPLOYEE:DOH:FTE:
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Making changes and sign is a document that outlines any modifications made to a contract or agreement, with the signatures of the parties involved.
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Making changes and sign must include details of the modifications made, as well as the date and signatures of the parties involved.
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