Get Printing S: Graph Forms Revision Gl3940e.frp

This guide provides clear instructions on how to fill out the Printing S: GRAPH FORMS REVISION GL3940E.FRP online. By following these steps, users can ensure accurate completion and submission of the form.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by consulting your plan administrator to confirm the type of coverage available under your plan. Indicate your coverage preferences by checking the appropriate box: Plan member only, Plan member and spouse, Spouse and/or dependants, or Plan member, spouse and dependants.
3. Complete Section 1, which includes plan sponsor information. This section must be filled out first by the plan administrator.
4. Proceed to Sections 2, 3, 4, and 5 to fill in plan member and spouse information. Ensure that all information is accurate and complete.
5. If needed, provide the details of the dependants applying for coverage in Section 3. Ensure to input their complete names, dates of birth, and other required information.
6. Answer all medical questions in Section 4 for all applicants. Be thorough and ensure all ‘Yes’ answers are clarified with additional details if necessary.
7. In Section 5, certify that the information provided is accurate by signing and dating the form. If applicable, the spouse's signature should also be included.
8. After reviewing all provided information for accuracy, save your changes, download, print, or share the completed form as necessary.

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