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Get Termination / Less Than 80 / Transfer Check List - State Of Wyoming - Wyoming

Employees' Group Insurance 2001 Capitol Ave - Room 106 Cheyenne, WY 82002 Phone: 800-891-9241 Phone: 307-777-6835 Fax: 307-777-7685 http://personnel.state.wy.us/EGI/Index.htm Termination / Less than 80 / Transfer Check List Complete Top Portion for each employee and then either Section 1, 2, or 3 Depending on Circumstances Employee Name: Employee SSN: Date of Termination: Date: Last Day Worked: Date of Hire: Agency Name: Employee Date of Birth: Agency Number: Employee Address: City, S.

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