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Get Gtl Enrollment Form V6 - University Of Utah Health Care - Uuhsc Utah
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How to fill out the GTL Enrollment Form V6 - University Of Utah Health Care - Uuhsc Utah online
The GTL Enrollment Form V6 is essential for enrolling in the Gift to Life program at the University of Utah Health Care. This guide provides clear instructions to ensure users can fill out the form accurately and effectively online.
Follow the steps to complete the GTL Enrollment Form online.
- Click the ‘Get Form’ button to access the enrollment form and open it in your preferred editor.
- Begin by filling in the participant information section. Enter the name, date of birth, and address of the participant in the designated fields.
- Indicate whether the participant is a U.S. veteran by selecting 'Yes' or leaving it blank if not applicable.
- Fill out the contact information, including home phone, cell phone, work phone, and email. Make sure each entry is accurate to ensure proper communication.
- If applicable, indicate if the participant has a second residence where autopsy arrangements may be necessary. If so, provide the second address.
- Decide if regular correspondence should be sent to the participant by selecting 'Yes' in the additional contact information section.
- Enter the additional contact person's details, including their name, address, phone numbers, email, and relationship to the participant.
- Repeat step 7 if a second additional contact person is necessary.
- Once all fields are completed, review the information for accuracy. Make any corrections as needed.
- After confirming the information is correct, save your changes to preserve the filled-out form. You may also choose to download, print, or share the form as required.
Complete the GTL Enrollment Form online today to ensure your enrollment in the Gift to Life program.
Adult coverage costs an average of $675 per month in Utah. That means a single parent with one child pays an average of about $1,036 per month for coverage and a family of four pays $2,073 per month on average before discounts.
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