Health Service System Benefits Guides are available online at myhss.org. You may request a paper guide by completing the form below. We try to respond promptly to requests. Guides will be mailed within one business day of your request being received. If you need assistance completing this form call Member Services at 1-415-554-1750.

1. Which type of HSS member are you?

2. What is your 6 digit employee ID number?

3. Please provide the address where you would like your Benefits Guide to be mailed:

4. What is your phone number?
HSS may contact you if there is a question about this request.

5. What is your email address?
HSS may contact you if there is a question about this request.

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