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2022 RETIREE ENROLLMENT FORM JHS BENEFIT SELECTION FORM FOR RETIREES 65 & OVER AND/OR MEDICARE ELIGIBLEEmail: JHSretiree@FBMC.com or Fax: 3053552324SECTION 1: RETIREE INFORMATION LAST NAMEPLATE WRITE
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Teachers and educators who are part of the Orcutt school district and wish to be part of the Orcutt Educators Association.
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Orcutt Educators Association A is a type of organization representing educators in the Orcutt area.
Educators who are part of the Orcutt Educators Association A are required to file this association.
To fill out the Orcutt Educators Association A form, individuals must provide information about their role within the association and any relevant financial data.
The purpose of Orcutt Educators Association A is to represent and support educators in the Orcutt area.
Information such as financial data, membership numbers, and any activities or events organized by the association must be reported on Orcutt Educators Association A form.
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