Follow the steps to complete the Navmc 11378 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the member's rank, full name, and address in the designated fields. Make sure the information is current and accurate.
3. Record the date of notice. This should be the date on which you are filling out the form.
4. Provide the EDIPI (Electronic Data Interchange Personal Identifier) in the specified field. This is a unique identifier for personnel.
5. Review the past-due notification section. Make sure to understand your payment obligations and the implications of not paying the premiums.
6. Fill in the amount of premiums due as indicated in the notice. Ensure this is accurate to avoid complications.
7. If applicable, prepare a justification for any late payments. This should be attached as a separate document to support your case.
8. Provide your signature and the date signed in the appropriate fields. This serves as confirmation of your acknowledgment of the notice.
9. Enter your typed rank and name followed by the type of organization and unit to ensure proper association with your records.
10. Once all fields are completed, review the form for accuracy. Save changes, download, print, or share the form as needed.

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