CASH OPTION ENROLLMENT AUTHORIZATION - California

This manual provides instructions on how to complete the Reimbursement Account Enrollment Authorization (STD. 701R) and the Cash Option Enrollment Authorization (STD. 701C).

2023年4月27日 · CalHR is updating these forms as time permits. In the meantime, continue to use the DPA forms. You can also get standard forms from the DGS Forms Search website. For excluded employees and eligible represented employees in bargaining units 2, 7, 8, 16, 17, 18, and 19. For all other employees. Confidential Designation Request Form - CalHR 124 .

Eligible employees may enroll in any FlexElect benefit, or all. This handbook explains all benefits for the 2022 plan year (January 1-December 31, 2022).

Benefits - STD. 701C Flex Change Change the FlexElect benefit attached to health and/or dental benefits Benefits - STD. 701C Flex New Establish the FlexElect benefit attached to health and/or dental benefits Benefits - STD. 701C Flex PI Establish, change, or cancel the FlexElect benefit for Permanent Intermittent (PI) employees

Departments will be responsible for submitting Flex Elect Cash benefit cancellations forms STD. 701C or STD. 702 for employees on Disability/Military Leave and employees that are in the following categories: Tenure Time base Permanent Part-Time - less than half-time (if more than one position combined is half-time or more)

It was based on either the DX2 or the DX4 version of the Intel i486, combined with the CT -65545 graphics chip. The 701Cs version used a DSTN display, while the 701C used a TFT LCD. It was pre-installed with Windows 3.11 and for the DX4 models also with OS/2 Warp 3.0.

Whether you have just acquired a new 701C or are diving head first into an extensive restoration, there are common issues and, more importantly, critical things you’ll want to take care of as soon as possible.

5 DOEA SCORABLE 701C CONGREGATE MEALS ASSESSMENT FORM, JULY 2017 WHY ARE WE COLLECTING YOUR SOCIAL SECURITY NUMBER? We are required to explain that your Social Security number is being collected pursuant to Title 42 Code of Federal Regulations, Section 435.910, to be used for screening and referral to programs or