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Hanford Joint Union High School District

Preparing Today's Students for Tomorrow's World

Medical Benefit Forms

Health Now Enrollment Form

Health NOW - Enrollment Form.pdf 39.34 KB (Last Modified on September 10, 2019)

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Medical Claim Reimbursement Form

OON Claim Form_No_OON.pdf 28.68 KB (Last Modified on September 10, 2019)

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Other Coverage Verification Form

OtherCoverageVerification_021617.pdf 286.91 KB (Last Modified on September 10, 2019)

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Life Insurance Forms

Life Insurance Beneficiary Change Form

Life Insurance Beneficiary Change.pdf 90.83 KB (Last Modified on September 13, 2019)

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Life Insurance Enrollment Form

LIfe Insurance Form.pdf 124.05 KB (Last Modified on September 13, 2019)

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Jennifer Santiago – Payroll, Benefits & Accounting Specialist II
559-583-5901 ext 3107

Renee Creech - Assistant Superintendent, Business Services & Operations

559-583-5901 ext 3116

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