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Get Benefit Plan Enrolment Form - Executive Government Employees (pdf

Employee Service Centre 2100 Broad Street Regina SK S4P 1Y5 SECTION A: EMPLOYEE INFORMATION (Please print) Last Name Mailing Address First Name and Initial Employee Number City Birthdate (day/month/year) Province Postal Code Male Female Gender SECTION B: EMPLOYMENT INFORMATION Employee Type (check one from each category a. and b.): a) SGEU CUPE Out of Scope b) Permanent Full-Time Labour Service Permanent Part-Time Term If your spouse is currently an employee of Executi.

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