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Get Managers Waiver For Manager/spouse/domestic Partner/dependents

** To Be Completed by Management Employee or Annuitant (Please Print) Name of: Employee Annuitant Bargaining Unit: Perner Number: Name of Employing University: Name of Student: Social Security No: Date of Birth: Relationship of Student to Employee/Annuitant: Name of Attending University: Semester/Year: / ******************************************************************************************************************************************* Employee/Annuitant Verification: I understand it.

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