Dependent Status Verification Benefit Plans - redlands 2026

1. Click ‘Get Form’ to open the Dependent Status Verification Benefit Plans - redlands in the editor.
2. Begin by entering your name in the 'Employee Name (Print)' field at the top of the form.
3. For each child enrolled under a benefit plan, fill in their name, relationship, birthdate, and age. Indicate if they are a dependent and if they are a full-time student by checking 'Yes' or 'No' in the respective boxes.
4. Review the section titled 'Commitment to Notify Regarding Change in Dependency.' Ensure you understand your obligation to notify the University of Redlands about any changes within thirty-one days.
5. Read through the 'Other Acknowledgments' section carefully. Confirm your understanding of potential consequences for providing false information.
6. Sign and date the form at the bottom to validate your assertions before submitting it.

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