Get Wpa Group Medical Declaration.pdf - Smq Services

Filling out the WPA Group Medical Declaration is an important step for accessing group health coverage. This guide will assist you in completing the form accurately and efficiently.

Follow the steps to fill out the form with confidence.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Begin by entering the company details. Provide the company's name, any group name if applicable, and the complete company address including the postcode.
3. In the cover details section, indicate the desired start date for your coverage. Remember, this date cannot precede the date the form is signed or exceed one month in advance. Also, specify how many employees will be joining.
4. You will need to declare whether any employees, dependants, or potential members have ongoing or planned treatments for any specified conditions such as heart problems or cancer. Mark 'Yes' or 'No' accordingly.
5. In the declaration section, confirm that the information provided is true and complete. Accept that the criteria for transferring to WPA have been explained and that this declaration is part of your application for coverage.
6. Print your name and indicate your position within the company. Ensure that all fields are completed in capital letters as required.
7. Once all sections are filled out, you can save your changes, download the completed form, print it for physical submission, or share it as needed.

Complete your documents online to ensure a seamless application process.