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LATE ENROLLMENTBENEFITS CONTROL / WAIVER FORM CUPE 947You must complete and return this form together with the Enrolment Form and Statement of Health This form is used by the Payroll & Benefits Office
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Obtain a copy of the CUPE-947-Addition-of-Eligible-Dependents-Spouse form.
02
Fill out your personal information including name, address, and contact details.
03
Provide information about your eligible dependents or spouse including their full name, relationship to you, and any relevant details.
04
Sign and date the form to certify the information provided.
05
Submit the completed form to the appropriate office or department as instructed.

Who needs cupe-947-addition-of-eligible-dependents-spouse?

01
Employees who are members of CUPE-947 and wish to add eligible dependents or a spouse to their benefits coverage.
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cupe-947-addition-of-eligible-dependents-spouse is a form used to add eligible dependents, such as a spouse, to a CUPE 947 member's benefits coverage.
CUPE 947 members who wish to add eligible dependents, specifically a spouse, to their benefits coverage are required to file cupe-947-addition-of-eligible-dependents-spouse.
To fill out cupe-947-addition-of-eligible-dependents-spouse, CUPE 947 members must provide the necessary information about their eligible dependents, such as their spouse, and submit the form according to the instructions provided.
The purpose of cupe-947-addition-of-eligible-dependents-spouse is to ensure that CUPE 947 members have the option to include their eligible dependents, like a spouse, in their benefits coverage.
CUPE 947 members must report detailed information about their eligible dependents, specifically their spouse, including their full name, date of birth, and relationship to the member.
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