Get Wavy Newsletter. Wavy Newsletter - Csupomona

This guide provides detailed instructions on how to successfully complete the Wavy Newsletter form. By following each step carefully, you can ensure that your form is filled out correctly, allowing for smooth processing of your open enrollment transaction.

Follow the steps to complete the Wavy Newsletter effectively.

1. Click ‘Get Form’ button to obtain the Wavy Newsletter form and open it in your preferred editor.
2. Begin by filling in your personal information. This includes your first name, middle initial, last name, social security number, and contact details such as your home phone, cell phone, and email address.
3. Provide your residential address. Include your street address, city, state, and zip code. If your residence zip code is different, make sure to note it in the provided space.
4. Select your sex by checking the appropriate box for either female or male.
5. Indicate your relationship status by choosing from single, married, or domestic partnership options.
6. Fill in your campus department and include your Bronco number if applicable. If you know your bargaining unit number, include it as well.
7. List any dependents you wish to enroll or delete. For each dependent, provide their name, date of birth, and social security number, as well as the relationship to you.
8. Select your desired medical, dental, and vision plans by checking the appropriate options. For dental plans, specify the participating dental office and provider ID if applicable.
9. If applicable, complete the flexible spending accounts section by entering the amounts per month for health care reimbursement and dependent care reimbursement accounts.
10. Finally, review all filled sections for accuracy. Sign and date your form at the bottom. Ensure you submit it to Human Resources by the due date to process your open enrollment transactions.
11. After ensuring that your form is complete, save changes, and make sure to download, print, or share the form as necessary.

Complete your Wavy Newsletter form online today to ensure your enrollment is processed on time.