Form Details...
| Form
Title: |
Smart Choice Enrollment Form |
| Last
Revised: |
2/2012
|
| Purpose: |
Enrollment form for Smart Choices Benefits |
| Who
Should Use the Form: |
Those UCAR employees needing a hard copy of the enrollment form. |
| Instructions: |
Employee completes the form, signs and submits to Human Resources for processing. The form may be mailed to P. O. Box 3000, Boulder, CO 80307-3000, ATTN: Irena Haimsky, or faxed to 303-497-8701. |
| View
the Form: |
Form
in .pdf format |
| Form
Download Information |
| File
Format: |
Microsoft
Word (.doc) |
| Download
File: |
Click
Here to Download the Form! |
| Problems?
Contact: |
Irena Haimsky, x8706 |
If you are having trouble downloading
forms see HELP below.
Questions or Comments?
Contact the F&A Webmaster at:
webmaster@fanda.ucar.edu
Thank you!
|