2021 Paper Enrollment

You can either print the paper enrollment form and fill it out by hand, or open the form from your computer and type the information into the form.

To fill it out by hand:

  • Click on the paper form link and print it from your computer.
  • Print your information legibly in each section.
  • Sign and date the form on page 6.
  • Keep a copy for your records.
  • If anyone helps you complete your application, that individual must sign the enrollment form and indicate his or her relationship to you.
  • Send the original form with your signature to the address listed at the top of the form.