| Date | Last | First | Employee PIN | Job Title | District | Birmingham? | Benefits Waiver | Decline Reason | Details |
|---|---|---|---|---|---|---|---|---|---|
| Date | Last | First | Employee PIN | Job Title | District | Birmingham? | Benefits Waiver | Decline Reason | Details |
| Date | Last | First | Employee PIN | Job Title | District | Birmingham? | Benefits Waiver | Decline Reason | Details |
|---|---|---|---|---|---|---|---|---|---|
| Date | Last | First | Employee PIN | Job Title | District | Birmingham? | Benefits Waiver | Decline Reason | Details |