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Download Required Documents*
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  Child Affidavit pdf icon-01

Citizenship Requirements pdf icon-02

Employer Application pdf icon-03

Employer Regulations pdf icon-04

Insurance Partnership Brochure (English) pdf icon-05
Insurance Partnership Brochure (Spanish) pdf icon-06

Medical Benefits Request form (MBR) pdf icon-07
Medical Benefits Request form (MBR in Spanish) pdf icon-08

Request for Taxpayer Identification Number and Certification (W-9)pdf icon-09

Supplemental Affidavit pdf icon-10
Supplemental Affidavit (Spanish) pdf icon-11
 
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and use the "Save Link As or Save Target As" option
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