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HSU Forms

VSP Video Display Terminal (VDT) Claim Form

Human Resources

The VSP Video Display Terminal (VDT) Confirmation Form is only provided to CSU employees who meet the
necessary job requirements as determined by the CSU campus benefits office. This form must be completed
by the employee and provided to a VSP Select Network doctor to receive the supplemental VDT benefit.
Please call VSP Member Services at 800-877-7195 if you have questions about the benefit.

Last Updated:  Tue, 11/16/2010 - 11:40