Benefits Change Form - School District 10 Arrow Lakes - sd10 bc 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part 1: Employee Identification. Fill in your last name, first name, initial, district number, and provincial health plan number.
  3. Move to Part 2: Change in Family Status. Indicate the change event (e.g., marriage, birth) and provide the date of the event. Specify any changes in coverage for extended health and dental.
  4. In Part 3: Change to Spousal or Other Coverage, select the type of coverage change and provide relevant details such as spouse’s policy number if applicable.
  5. Proceed to Part 4: Change of Beneficiary Designation. Enter the new beneficiary's information and specify which benefits this change applies to.
  6. Finally, complete Part 5: Change of Name if necessary. Fill in previous and new names along with the date of change.
  7. Review all entered information for accuracy before signing and dating the form at the bottom.

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