Enrollment Forms

2026 Open Enrollment forms will only be accepted during the Open Enrollment period and are available:

  • Online: Benefits Webpage via the 2026 Open Enrollment link
  • In person: Human Resources Department – Benefits Unit, 701 Ocean Street, Suite 510, Santa Cruz, CA 95060

Submitting Completed Forms
Completed forms must be received by 5:00 PM, Friday, October 10, 2025, and may be submitted via: