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Warning
titlePlease Note:

This is the 2024 International Cafeteria Plan Enrollment Form, which should be used for changes to 2024 benefits only through 12/31/24.

If you are looking for the link to the 2025 International Cafeteria Plan Enrollment Form for 2025 International Open Enrollment, please follow the instructions on the Open Enrollment page:

Info
Before filling out the Cafeteria Plan Enrollment Form below, please make sure you've read the Child-Care Benefit for International Workers.
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<iframe src="https://forms.gle/7RTD5VG8A7upGuUs6" width="700" height="520" frameborder="0" marginheight="0" marginwidth="0">Loading…</iframe>
Note
titleTroubleshooting Tips
  • If you do not see the form above, make sure you are logged in to your reliant.org Google Account on this browser. You can do this at mail.reliant.org or drive.reliant.org. Refresh this page after you sign in.
  • You will need to use the scroll bar within the form to navigate down to more questions.
  • If you are on a mobile device or using Internet Explorer and have trouble reading the form, you can use this alternate link.
  • If you still have trouble, please contact benefits@reliant.org.