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  • Pdb User Access Form 20080229.doc

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Mailing Address ? 1225 Ferry St., Salem, OR 97301 Phone - (503) 378-1102 Fax (503) 373-1654 Email address: PDB.Administration state.or.us Web address: http://pebb.das.state.or.us PUBLIC EMPLOYEES'.

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How to fill out the PDB User Access Form 20080229.doc online

This guide provides a comprehensive overview of how to correctly fill out the PDB User Access Form 20080229.doc online. Follow these steps to ensure accurate completion and submission of your form.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to acquire the form and open it for editing.
  2. In the user information section, check all applicable boxes related to your status. Indicate if you are a new user to PEBB, transferring from another agency, or updating existing information.
  3. Clearly print your agency name and number. Ensure that this information is correct to avoid delays.
  4. Enter your full name as the user, along with your working title and contact phone number.
  5. If available, provide your RACFID user name and email address.
  6. Select your preferred access level—View Only, Edit Level, or OUS/BHS Seeding—by checking the appropriate boxes.
  7. Read the responsibilities agreement carefully. This section outlines the commitment to maintaining security and assisting PEBB members.
  8. Sign and date the form in the designated area to confirm your understanding and agreement to the responsibilities outlined.
  9. For agency access approval, ensure that the designated person, such as a benefit officer or human resources manager, fills in their signature, date, printed name, and job title.
  10. Review the entire form for any errors or omissions. Once verified, save your changes, and you may choose to download, print, or share the completed form.

Complete your PDB User Access Form online today!

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