2011-12 New Hire Enrollment Form - State of Oregon - oregon-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Employee Information section. Enter your last name, first name, middle initial, birth date, and gender. Ensure you provide your Employee ID or SSN.
  3. Complete the Tobacco Usage section. Select the appropriate options regarding your tobacco usage and that of your spouse/domestic partner if applicable.
  4. In the Healthy Futures Participation section, indicate whether you and your spouse/domestic partner will participate in the program by checking 'YES' or 'NO'.
  5. Fill out the Dependent Information section if applicable. Provide details for each dependent including their names, birth dates, and relationship codes.
  6. Select your Medical, Dental, and Vision Plan options. Write in your choices clearly and ensure to opt-out or waive coverage if necessary.
  7. Review all sections for accuracy before submitting. Use our platform's features to save your progress as needed.

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Newly hired employees must complete and sign Section 1 of Form I-9 no later than the first day of employment. Generally, only unexpired, original documentation is acceptable (i.e., driver license or passport). The only exception is that an employee may present a certified copy of a birth certification.
A student may transfer between districts if the student receives consent to transfer from both the district of residence and the receiving district. Questions about the process and timelines for obtaining consent should be directed to school districts.
While open enrollment is not widely available to Oregon families, they may still request an interdistrict transfer (which requires the consent of both the sending and receiving district).
Undergraduate enrollment for all colleges combined averages over 32,000 while an additional 5,000 students are engaged in post-graduate coursework through the university. In 2023, over 37,000 students were enrolled at OSU, making it the largest university in the state.
Open enrollment period If you enroll or change plans between Nov. 1 and Dec. 15, coverage will begin Jan. 1 of the next year.

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