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Meeting request

Completed request forms must be received at least 21 days in advance of event date.

To get started:

1. Download/save this form to your desktop. Use requesting agency and date of event in the file name, eg: mmb-08-16-2022.pdf

2. Open the downloaded/saved form and complete.

3. Save your changes.

4. Email completed form as an attachment to Employee Insurance attn: Lynn Burwell ( for review. We will use the provided contact information to confirm prior to the event.

Contact Employee Insurance/SEGIP at (651) 355-0100 if your event has not been confirmed within seven days or with any questions.

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