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SEBB Employee Request for Review Notice of Appeal 2020
Completes Sections 1 3 see WAC 182-32-2020 for guidance. Phone number Relationship to appellant Washington State Bar Association number If applicable By signing this form I declare that the information I have provided is true complete and correct. For life or long-term disability insurance eligibility enrollment or premium issues forward your recommendation to correct the decision or action caused by delay or error by secure email to the SEBB Program for final determination. Send a secure...
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