Get Application For Addition Of Dependant - Moto Health Care

This guide provides a comprehensive overview of how to fill out the APPLICATION FOR ADDITION OF DEPENDANT for Moto Health Care online. By following these clear steps, users can ensure that their application is completed accurately and submitted efficiently.

Follow the steps to successfully complete your application form.

1. Press the ‘Get Form’ button to download the application form and open it in your preferred editing tool.
2. Begin by filling out the member details section. Provide your first name, surname, member number, employee number, telephone number, and email address. Make sure these details are correct and up to date.
3. Proceed to the addition of dependant section. For each dependant, you will need to fill out their surname, first name, gender, date of birth, identity number, and relationship to you. Ensure the information is accurate for all dependants listed.
4. Complete the underwriting questions section. Answer each question regarding medical history for you and your dependants honestly by selecting 'Yes' or 'No' as required. Provide additional details for any affirmative answers.
5. Review the terms and conditions carefully. Make sure you understand each point regarding membership, liability, and the disclosure of information. This section is crucial as it outlines your responsibilities and the implications of your application.
6. Finally, sign the declaration of health and the employer acknowledgment of change in benefit if applicable. Provide the date and ensure that all required parties have signed where necessary.
7. Once completed, review the entire form for accuracy. You can then save your changes, download the completed application, print it out, or share it as needed.

Complete your APPLICATION FOR ADDITION OF DEPENDANT online today to ensure timely processing of your membership.