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Tue, May 13
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SETGEBP
Division*
Drainage District No. 3 Employee Group
Drainage District No. 3 Retiree Under Age 65
Drainage District No. 6 Employee
Drainage District No. 6 Retiree Under Age 65
Jefferson County Dependent
Jefferson County Employee
Jefferson County Retiree Under Age 65
Location*
Beaumont
Mid-County
Port Arthur
Precinct 4 Service Center (Inactive)
Precinct No. 1 Service Center (Inactive)
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
UHC 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.