Department of Human Resources: Benefits Forms for Employees Hired on or after October 1, 1987
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Benefits Forms for Employees Hired on or after October 1, 1987

Form # Title
Retirement Computation Form*
  Pre-Tax Waiver/Election Form*
SF 1269 Health Benefits Program Registration Form*
SF 1275 Life Insurance Election*
SF 1276 Designation of Beneficiary*
SF 1287 Request for Benefit Payment*


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