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Fri, Apr 3
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Create New Account -
The City of Beaumont
Location*
City of Beaumont City Hall
Fire Station 1
Water & Sewer - Maintenance & Operations
Title
Mr.
Ms.
Mrs.
Miss
Dr.
First Name*
Middle Name
Last Name*
Suffix
Jr.
Sr.
II
III
IV
Birth Date*
(M/D/YYYY)
Gender*
Male
Female
BCBS Number*
Phone*
Mobile
Work
Home
Fax
Reminder
Email
Text
Occupation
Email/Username*
Password*
Confirm Password*
*Required Fields
You must use your company-assigned email address for your Username/Email. If you do not have a company email address please contact your HR representative or site coordinator.
