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The Clear This Form button at the end of the form when finished. FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: CASE NUMBER: REQUEST AND NOTICE OF HEARING REGARDING HEALTH INSURANCE ASSIGNMENT NOTICE: If you object to the Application and Order for Health Insurance Coverage (form FL-470) or National Medical Su.

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How to fill out the FL 478 online

Filling out the FL 478 form is an important process for those seeking to request a hearing regarding health insurance assignment. This guide will provide you with clear and easy-to-follow steps for completing the form online, ensuring that you understand each section and field.

Follow the steps to successfully complete the FL 478 online

  1. Use the ‘Get Form’ button to access the FL 478 document and open it in your preferred online editor.
  2. Begin by entering your details in the 'Attorney or party without attorney' section. Provide your name, state bar number, address, telephone number, fax number (optional), and email address (optional). If an attorney is representing someone, include their name in the 'Attorney for' field.
  3. In the 'Superior Court of California' section, fill in the appropriate court's street address, mailing address, city, zip code, and branch name.
  4. Input the names of each party involved in the case under the sections for 'Petitioner/Plaintiff', 'Respondent/Defendant', and 'Other Parent'. Make sure you also include the case number.
  5. In the section regarding the hearing request, specify the date and time of the hearing. Include the court address, department, division, and room number as applicable.
  6. Provide your reasons for requesting that the application and order for health insurance coverage be quashed. List any applicable reasons from the options given or specify others if necessary.
  7. Complete the declaration section by typing or printing your name and signing the form to affirm that the information provided is true and correct, under penalty of perjury.
  8. Once you have finished filling out the form, you can choose to save changes, download, print the form, or share it as needed.

Take the next step and complete your documents online with ease!

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