Get Student Dependant Declaration Form - Cbhs

Filling out the Student Dependant Declaration Form - CBHS online can be straightforward with proper guidance. This step-by-step guide is designed to assist users in completing the form accurately and efficiently, ensuring all necessary details are captured.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section 1, where you will fill in your membership details. Enter your member number, surname, given name(s), home address, state, postcode, and your contact numbers including home and work phone. Ensure all information is accurate to avoid delays.
3. Proceed to Section 2 to input your dependant's details. Enter the dependant's surname, given name(s), and the institution they are attending. Indicate their status by ticking the appropriate box stating they are under twenty-five, unmarried, and a full-time student. Provide the commencement and ending months of their course as required.
4. If necessary, use the section to declare the removal of a dependant from your coverage. This is done by selecting the appropriate option to confirm they are no longer eligible as a student dependant.
5. In Section 3, review and complete the declaration statement. Confirm the accuracy of the information provided, authorising CBHS Health Fund Limited to contact the institution for clarification if needed. Sign and date the form, including your dependant’s signature if applicable.
6. After all sections are filled out, review the entire form for completeness and accuracy. You have the option to save changes, download, print, or share the completed form as required before submitting it.

Complete your Student Dependant Declaration Form - CBHS online today for timely processing.