Chabot-Las Positas Community College District Human Resource Services Part-Time Faculty Medical Benefits Affidavit for Enrollment and Authorization for Payroll Deductions TO BE COMPLETED BY PART-TIME FACULTY I hereby cer - Enrollment Act - Document - PDFSEARCH.IO

First Page	Meta Content
	Chabot-Las Positas Community College District Human Resource Services Part-Time Faculty Medical Benefits Affidavit for Enrollment and Authorization for Payroll Deductions TO BE COMPLETED BY PART-TIME FACULTY I hereby cer Add to Reading List Document Date: 2014-10-30 18:04:56 Open Document File Size: 32,04 KB Share Result on Facebook IndustryTerm medical insurance / / Organization Notary Public TO BE COMPLETED BY DIVISION / Las Positas Community College / / Person Dean Load Verified / / Position Dean / Officer / / ProvinceOrState California / On __________________________Before Me / / SocialTag Affidavit Act Seal Health insurance Insurance Certified copy Eschatocol Notary Law Notary public

Chabot-Las Positas Community College District Human Resource Services Part-Time Faculty Medical Benefits Affidavit for Enrollment and Authorization for Payroll Deductions TO BE COMPLETED BY PART-TIME FACULTY I hereby cerAdd to Reading List