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PEBB Forms

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2019 and 2020 Forms

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, (i.e. HEM, affidavit, enrollment, fsa)
    1. Filter and Sort
      • Click Filter dropdown to choose filter options or;
      • Click desired Header (category, url, description, etc.) to sort or;
      • Use Sort dropdown and choose desired category
    2. 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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