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Click ‘Get Form’ to open the palm beach dependent in the editor.
Begin by entering your personal information at the top of the form, including your last name, first name, PBSC ID number, email address, and phone number.
In the 'Family Information and Household Size' section, list all members of your household. Include yourself, your parents, and any siblings or dependents who live with you. Make sure to provide their ages and relationships.
For the 'Dependent Student’s Income and Tax Information', check the appropriate box that applies to your tax filing status. If applicable, complete the income chart with employer details.
In the 'Parent's Income and Tax Information' section, repeat a similar process for your parent(s). Ensure all required documents are attached as specified.
Complete the high school completion documentation section by providing necessary proof of graduation or equivalent status.
Finally, ensure both you and a parent sign and date the certification section before submitting.
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Palm Beach County offers many benefits including HMO or POS medical coverage for employees and qualified dependents, Risk Management at 561-233-5400 or email
Tuition waiver does not provide reimbursement for classes completed by the employee, spouse or dependent. Eligible Dependents 4 courses (12 credits or 480
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