DATE:________________________________________________ I, _________________________________________ would like to have my registration

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Business-Personnel Educational Software Technology and Network Consortium
BEST NET
DATE:________________________________________________
I, _________________________________________ would like to have my registration
reactivated for the Employee Self Service application. I understand this reactivation will
require a complete Registration, including requiring my Net pay from my most recent pay
warrant/EFT stub and Logon creation.
_______________________________________________________________________
PRINTED NAME
_______________________________________________________________________
E-MAIL ADDRESS ORIGINALLY ENTERED ON EMPLOYEE SELF SERVICE
SITE
VICTOR VALLEY COLLEGE
DISTRICT: _____________________________________________________________
RAINA BUSTILLOS/CAROL HILL
DISTRICT CONTACT: ___________________________________________________
P:\FORMS\BestNet\Reactivation Request.doc
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01/19/10
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