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Acknowledgement Form 1199 – Benefits

New Employee Benefits Orientation Acknowledgement Form

The following has been received and/or reviewed during today’s orientation:

  • – Benefits Welcome Letter — How to Enroll
  • – Highlights of Your Benefit Program
  • – 403b Tax Sheltered Annuity overview
  • – Overview of Employee Benefits


On this date, I attended the Benefits Orientation session. The content of this Orientation is described above.

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