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Ded t o c omplete t he nec essary doc umentation f or open enr ollment t ransaction. A fter y ou s ubmit t his w orksheet t o H uman Resources on or before the due date (11/4/11), you will be notified when your official open enrollment form(s) has been prepared and is ready for your signature. Any open enrollment forms not signed by 10:30a.m., Tuesday, November 15, 2011, will NOT be processed (No Exceptions). Type of Description of Transaction: Open Enrollment (all changes requested during open.

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