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Forms
These forms may be completed, printed, and saved using Adobe Acrobat Reader. To use these forms you must have Adobe Acrobat Reader, Version 5.0 (or a later version) installed on your computer. If you do not have Adobe Acrobat Reader or would like to upgrade to a newer version, you can do so from the Adobe web site.
Dependents of Certified Public School Teachers Waiver
Dependents of State Employees Waiver
Pellissippi State Employee Audit/Non-Credit Waiver
Pellissippi State Employee PC191
Pellissippi State Employee Spouse & Dependent Waiver
SPECIAL NOTES:
- Use the Tab key to move forward through the form.
- Use the Shift + Tab to move backwards through the form.
- Some entries are check boxes and require the mouse to be used to check (or uncheck) the box.
- To print, go to File and then to Print.
- The data you fill out on these forms is not submitted electronically. A printed form must be
submitted for processing and signatures must be original (where applicable)
Last Updated: April 13, 2005