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Contact - Fast2K - English 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Personal Information' section. Enter your name, Social Security number, former campus location, and retirement system coverage. Ensure your address is complete with city, state, and ZIP code.
  3. In the 'Actions' section, select the appropriate action such as 'Enroll', 'Change', or 'Cancel'. Provide any necessary dates related to marriage, divorce, or other relevant changes.
  4. Proceed to the 'Medical, Dental, and Legal' section. Choose your desired plans by checking the corresponding boxes for enrollment or cancellation.
  5. Complete the 'Enrollee Information' section by listing yourself and eligible family members. Make sure to include their relationship codes and birthdates.
  6. Finally, review all information for accuracy before signing at the bottom of the form. Ensure you date your signature and provide a daytime phone number.

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VersionsForm popularityFillable & printable
20214.9 Satisfied (40 Votes)
20204.4 Satisfied (164 Votes)
20154.4 Satisfied (415 Votes)
20144 Satisfied (25 Votes)
20124.2 Satisfied (61 Votes)

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