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CalPERS Health Program Guide
To initiate direct payment, contact your health benefits officer for a Direct Payment Authorization form (HBD-21). You also have the option to cancel
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Form: Direct Deposit Authorization - CalPERS - CA.gov
form Fax to (800) 959-6545. Page 1 of 3. CalPERS-1288 (Revised 08/2024). Page 2. Put your name and Social Security number or CalPERS ID at the top of every
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AGENDA - googleapis.com
Mar 28, 2019 Please contact the District Secretary at (650) 591-8941 to request specific materials and preferred alternative format or auxiliary aid or
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