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I have the 
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Please send me the following forms:
Application for Membership and Life Insurance
Application for New Federal Hires Under Open Enrollment
Certify Your Domestic Partner
Application for WAEPA Associate Membership and Life Insurance
Application to Join WAEPA Without Purchasing Life Insurance
Change of Beneficiary form
Change of Name form
Change of Address
Increase Your Coverage
Decrease Your Coverage
Direct Deposit Sign-Up Form 1199A
Automatic Premium Payment Service (APPS) authorization form to transfer from your checking account
Order Your Free WAEPA Information and Application Package
 
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or print this form and fax it to (703) 790-4606 or mail it to:

WAEPA
7651 Leesburg Pike
Falls Church, Virginia 22043
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