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Field Instructions Account Type Field Instruction Action Effective Date Field Instruction Add Registration SF2809 Field Instruction Address Field Instruction Address 1 Field Instruction Address 2 Field Instruction Cell Phone Field Instruction City Field Instruction Claim Number Field Instruction Complete (Registration) Field Instruction Confirm New Password Field Instruction Country Field Instruction Current Enrollment Plan Field Instruction Date Field Instruction Date of Birth Field Instruction Date of Certification Field Description Date Received Field Instruction Delete (Registration) Field Instruction Delete Field Instruction DOB Field Instruction DOD Activity Field Instruction DOD Component Field Instruction DOD Location Field Instruction Domestic Field Instruction Edit Field Instruction Effective Date Field Description Email Field Instruction Enter New Password Field Instruction Event Code Field Description Event Date Field Instruction First Name (Certifying Official) Field Description First Name Field Instruction Home Phone Field Instruction Insurance Policy Number Field Instruction Last Date of Pay Period Field Instruction Last Name (Certifying Official) Field Description Last Name Field Instruction Married Field Instruction Medicare Claim Number Field Instruction Middle Initial Field Instruction Name of Agency/Retirement System Field Instruction New Enrollment Plan Field Instruction Number Hours (DOD Only) Field Instruction Other Insurance Field Instruction Other Insurance Name Field Instruction Password Field Instruction Payroll Contact First Name Field Instruction Payroll Contact Last Name Field Instruction Payroll Office Number Field Instruction Payroll Phone Number Field Instruction Personnel Phone Number Field Instruction Public Law Field Instruction Relationship Field Instruction Relationship To Employee Field Instruction REMARKS Field Instruction Search/Complete Registration SF2809 Field Instruction Separation Date Field Instruction Separation/Event Date Field Instruction Sex Field Instruction Signature Field Instruction Signature Date Field Instruction Social Security Number Field Instruction SON Number Field Instruction SSN Field Instruction State Field Instruction User ID Field Instruction UserID (Certifying Official) Field Description View Certified SF2809 Field Instruction Work Phone Field Instruction Zip Field Instruction |
