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INSTRUCTIONS: Please make sure to submit copies of all completed forms directly to HR.
ADDRESS CHANGE FORMS (please also make sure to notify HR as well so that your information may be updated with our MEBT recordkeepers and in our payroll system): Deferred compensation (requires direct notification by you to your dcp provider- see the deferred compensation tab for contact information) |
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Emergency Contact Personnel File Information form DRS state retirement system (PERS & LEOFF) form
BENEFICIARY CHANGE FORMS (please also make sure to notify HR) Cigna Life Insurance, LTD & AD & D form Cigna Life Insurance beneficiary form ($100,000 MEBT death benefit) DRS state retirement (PERS & LEOFF) beneficiary form
MARRIAGE/DISSOLUTION OF MARRIAGE/REGISTERED DOMESTIC PARTNERSHIP FORMS (please also make sure to notify HR) See Beneficiary Change Forms above AWC (health insurance) enrollment form -adding (spouse, registered domestic parter and/or dependents) or removing a former spouse, registered domestic partner and ineligible dependents)
Payroll Deduction Change Forms DRS - Deferred Compensation (Police only. Use this form if you need to change your Department of Retirement Services Deferred Compensation contribution. City's contribution will not change) |
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