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Get Model Form Of A Certificate For The Carrying By Travellers Under ... - Elpos-zentralschweiz
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How to fill out the Model Form Of A Certificate For The Carrying By Travellers Under ... - Elpos-zentralschweiz online
This guide provides comprehensive instructions on how to accurately complete the Model Form Of A Certificate For The Carrying By Travellers Under treatment with controlled drugs. Following these steps will ensure that your form is filled out correctly for effective use.
Follow the steps to successfully complete the certificate form.
- Click ‘Get Form’ button to obtain the form and open it in the editing interface.
- Fill out section A regarding the country, date, and place of issue. Specify the country issuing the certificate, the date, and the location. Indicate the period of validity, which is recommended to be three months from the date of issue.
- In section B, provide details about the prescribing physician. Include their last name, first name, address, phone number with the appropriate country code, and their Global Location Number (GLN) if applicable.
- Complete section C with the patient's information. Enter their last name, first name, gender, place of birth, date of birth, home address, passport number or identity card number, and the intended country of destination.
- In section D, detail the prescribed medical preparation. Include the trade name of the drug or its composition, dosage form, quantity of units (e.g., tablets or ampoules), the international name of the active substance, concentration, total quantity of the active substance, duration of the prescription in days, and any additional remarks.
- After all sections are filled out, review the form for accuracy. Make any necessary adjustments before proceeding to save your changes, download the completed form, print it out, or share it as needed.
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INSTRUCTIONS Deadline and Submission Method. By no later than May 20, 2022, Claim Forms must be either (a) submitted online or (b) printed, mailed, and received by the Settlement Administrator via U.S. mail. Eligibility. ... You must submit a complete and accurate Claim Form so that it is received by May 20, 2022.
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