41![UHR[removed]Termination of Tax-Qualified Dependent Status Complete and submit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information: UHR[removed]Termination of Tax-Qualified Dependent Status Complete and submit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information:](https://www.pdfsearch.io/img/0f1c3f3b0fe4156fd069dc8e69216003.jpg) | Add to Reading ListSource URL: www.indiana.eduLanguage: English - Date: 2013-11-08 11:18:36
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42![UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Information TO BE COMPLETED BY ONE OF THE FOLLOWING: UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Information TO BE COMPLETED BY ONE OF THE FOLLOWING:](https://www.pdfsearch.io/img/a676153b98925c11651f11c9270fa589.jpg) | Add to Reading ListSource URL: hr.iu.eduLanguage: English - Date: 2014-08-27 08:01:26
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43![UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Information TO BE COMPLETED BY ONE OF THE FOLLOWING: UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Information TO BE COMPLETED BY ONE OF THE FOLLOWING:](https://www.pdfsearch.io/img/cfa49fb6f2ca45e26d24ba005a1518ca.jpg) | Add to Reading ListSource URL: www.indiana.eduLanguage: English - Date: 2014-08-27 08:01:26
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44![UHRS[removed]Basic Group Life Insurance Plan Beneficiary Designation Form Complete and return form to your campus HR office. For Retirees, return to: Basic Group Life Plan, University Human Resource Services, Poplars E1 UHRS[removed]Basic Group Life Insurance Plan Beneficiary Designation Form Complete and return form to your campus HR office. For Retirees, return to: Basic Group Life Plan, University Human Resource Services, Poplars E1](https://www.pdfsearch.io/img/5eb88386e4bf219ba7fedadd9d2daaf5.jpg) | Add to Reading ListSource URL: www.iu.eduLanguage: English - Date: 2011-01-31 14:52:26
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45![UHRS[removed]Personal Accident Insurance Plan Beneficiary Designation Form Complete and return form to: Personal Accident Insurance Plan, University Human Resource Services, 400 E. 7th Street, Poplars E165, Bloomington, UHRS[removed]Personal Accident Insurance Plan Beneficiary Designation Form Complete and return form to: Personal Accident Insurance Plan, University Human Resource Services, 400 E. 7th Street, Poplars E165, Bloomington,](https://www.pdfsearch.io/img/a493a62b4fbc5b17f118f5de017d83bb.jpg) | Add to Reading ListSource URL: www.iu.eduLanguage: English - Date: 2011-01-31 14:52:24
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46![UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information: UHR[removed]Affidavit of Domestic Partnership Submit this affidavit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information:](https://www.pdfsearch.io/img/e23453cf07edced1ed6175c4a29c852d.jpg) | Add to Reading ListSource URL: www.iu.eduLanguage: English - Date: 2013-12-02 08:26:21
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47![UHR[removed]Termination of Tax-Qualified Dependent Status Complete and submit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information: UHR[removed]Termination of Tax-Qualified Dependent Status Complete and submit to University Human Resources (Attn: COBRA Specialist, Poplars E165, IU Bloomington) Employee Information:](https://www.pdfsearch.io/img/5a5099a99e9d347ac26869229c127db2.jpg) | Add to Reading ListSource URL: www.iu.eduLanguage: English - Date: 2013-11-08 11:18:36
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48![SHOW TIMETABLE SECOND HALF OF TERM BEGINNING SATURDAY 7TH JUNE & TUESDAY 10th JUNE TUESDAY POPLARS MISS SUSAN 4.00 Enquiry Desk SHOW TIMETABLE SECOND HALF OF TERM BEGINNING SATURDAY 7TH JUNE & TUESDAY 10th JUNE TUESDAY POPLARS MISS SUSAN 4.00 Enquiry Desk](https://www.pdfsearch.io/img/2ec4b04d04e92743f665a7b86271a889.jpg) | Add to Reading ListSource URL: www.footworksschoolofdance.co.ukLanguage: English - Date: 2014-06-11 05:43:30
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49![Bathing / Shower / Toilet / Bedroom / Motel / Architecture / Bathrooms / Rooms Bathing / Shower / Toilet / Bedroom / Motel / Architecture / Bathrooms / Rooms](/pdf-icon.png) | Add to Reading ListSource URL: www.the-poplars.co.ukLanguage: English - Date: 2007-09-24 15:27:42
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50![RV park / Mobile home / Tent / Recreation / Outdoor recreation / Recreational vehicles / Architecture / Toilet RV park / Mobile home / Tent / Recreation / Outdoor recreation / Recreational vehicles / Architecture / Toilet](/pdf-icon.png) | Add to Reading ListSource URL: www.the-poplars.co.ukLanguage: English - Date: 2007-09-24 15:27:44
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