Get Order Form For Iltcp ... - State Of Indiana - In

Filling out the Order Form for the Indiana Long Term Care Insurance Program (ILTCP) can be straightforward with some guidance. This guide will help you navigate the various sections of the form to ensure accurate and efficient completion.

Follow the steps to successfully complete the order form online.

1. Click the ‘Get Form’ button to obtain the Order Form for ILTCP and open it in your editing tool.
2. Begin by legibly filling in the 'Name' section with your full name.
3. Next, provide your 'Mailing Address,' ensuring to include street address, apartment number (if applicable), and other relevant details.
4. In the 'City, State, Zip' field, clearly indicate your residential city, the state of Indiana, and your zip code.
5. Provide a 'Daytime Phone' number where you can be reached easily for any inquiries.
6. Indicate how many copies of the 'What You Should Know About Long Term Care' booklet you require and calculate the total cost by multiplying the number of booklets by $1.00.
7. Fill in the 'Total' amount at the bottom of the form, ensuring accuracy to avoid processing delays.
8. After ensuring all sections are properly completed, review the form for any errors or omissions.
9. Finally, save your changes, download the form if necessary, print it out, and share or send it along with your payment to the Indiana Department of Insurance.

Complete your documents online today to ensure timely processing!