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With an asterisk (*). CGMA CLIENT INFORMATION 1. Name: Last First Middle Initial 2. Social Security Number 3. Employee ID # XXX-XX *4. Home Address: Street Apt. No. City State Zip Code *5. Home Telephone Number ( ) *6. Home E-mail Address - *7. Status: (Indicate prior status if CGMA client is deceased) Active Duty CG Civilian Employee/NAF 8. Rank/Rate/Grade: Other: *9. Current Duty Station and OPFAC (if applicable) *10. Work 11. Check here if CGMA client is deceased: Ext.

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How to fill out the Xxxcorm Video Form online

Filling out the Xxxcorm Video Form online can be a straightforward process if you follow the right steps. This guide will walk you through each section of the form to ensure that you complete it accurately and efficiently.

Follow the steps to successfully complete the Xxxcorm Video Form.

  1. Click ‘Get Form’ button to obtain the form and open it in an editable format.
  2. Begin by entering the CGMA client information. Here, you will fill in the last name, first name, and middle initial of the client in the designated fields. Ensure that all names are spelled correctly to avoid any issues.
  3. Enter the social security number in the appropriate field. Be cautious to input this sensitive information accurately.
  4. Input the employee ID number, if applicable. This information helps in the identification of the client within the system.
  5. Provide the home address, including the street, apartment number (if any), city, state, and zip code. Double-check for accuracy in each section.
  6. Fill in the home telephone number and email address. This contact information will be essential for correspondence.
  7. Indicate the client's status by selecting from the given options. If the client is deceased, ensure to indicate this appropriately.
  8. Complete the rank, rate, or grade of the client, and provide any other relevant information in the designated space.
  9. Input the current duty station and OPFAC if applicable. This helps to ascertain the location of the client within the organization.
  10. If the client is deceased, check the relevant box and fill in the name of the surviving spouse or legal guardian, ensuring all information is complete.
  11. Under the client certification section, provide the baby’s name and birth date, ensuring accuracy.
  12. Read the certification statement carefully, and provide the client's signature along with the date to confirm the information is accurate.
  13. Attach a photocopy of the client’s valid Coast Guard ID card, ensuring both sides are clear and legible. If the client is deceased, provide the spouse’s/legal guardian’s valid ID.
  14. Finally, submit the completed form and attachments via email, fax, or mail as indicated in the instructions.

Start filling out the Xxxcorm Video Form online today to ensure a smooth application process.

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