Corpus Christi Texas Declaración jurada de no cobertura por otro plan de salud grupal - Affidavit of No Coverage by Another Group Health Plan

State:
Multi-State
City:
Corpus Christi
Control #:
US-321EM
Format:
Word
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Description

El empleado mencionado en esta declaración jurada da fe de que no está cubierto por ningún otro plan de salud grupal. Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.

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Employees: Please fill out the following application if you believe you meet the necessary criteria for VCC Cares assistance. Please click on the Career Site link below and select Register to complete your applicant profile.Help fill out forms programs and help in Corpus Christi, tx. Search 56 social services programs to assist you. All documents are listed below the search box. Accepted to TAMU-CC? Complete this form and let the admissions office know you plan to commit to the Island University. Free viewers are required for some of the attached documents. Once complete, the form may be submitted in person or mailed to: Office of Student Financial Assistance. Or, fill out the Submit Your RFP form on our website, and we'll get back to you about all we can do to help you bring your meeting home to Corpus Christi.

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Corpus Christi Texas Declaración jurada de no cobertura por otro plan de salud grupal