Enrollment, Cancellation, or other Changes for Faculty & Staff
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Send completed forms to:
University of California, Berkeley
Campus Shared Services - Human Resources
Attention: Benefits
1608 4th Street
FAX - (510) 664-9318

Please note: Rehires, Interlocation transfers, changes, and cancellations must use a UPAY 850 (PDF) form to complete enrollments. Fax completed forms to (510) 664-9318.

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