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PEBB Forms

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Below is a list of forms used for PEBB benefits and processes, including those used by PEBB members, PEBB-participating entities, and the general public. 

  1. Search
      • Enter keywords in the Search box, (example: mid-year change, divorce, affidavit, enrollment, fsa, etc.)
    1. Sort
      • Click desired column Header (example: category, url, description, form number) to sort or;
      • Use Sort dropdown and choose a different column to sort A-Z.
    2. Filter 
      • Click Filter dropdown to choose filter options or;
    3. More Pages
      • Click 'Next' to see more forms, if needed, or; 
      • Use the lower right hand corner 'Per Page' dropdown to adjust how many forms you see at a time.

    Still can't find it? Check the DHS/OHA Publications Library 

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