MSC 5559 PEBB CDL Employee Exam Voucher MSC 5559 PEBB CDL Employee Exam Voucher-2026

1. Click ‘Get Form’ to open the MSC 5559 PEBB CDL Employee Exam Voucher in our editor.
2. In Section 1, enter your employee information including your PEBB benefit number, agency name, last name, first name, middle initial, contact address, and phone number. Ensure all details are accurate.
3. Check the box if you have a new address. Fill in your city, state, ZIP code, and gender.
4. Review Section 2 with your agency representative. They will need to complete and sign this section to verify that you require a CDL for your job duties.
5. Take the signed voucher to your medical appointment with an in-network Certified Medical Examiner. Ensure they attach this voucher when billing your medical plan.
6. If required to pay at the time of service, complete your medical plan’s Claim Reimbursement Form and submit it along with a copy of this voucher.

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