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Get Fillable Online Enrollment Form For Continuation Students ...
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How to fill out the Fillable Online ENROLLMENT FORM FOR CONTINUATION STUDENTS online
This guide will help you navigate the Fillable Online Enrollment Form for Continuation Students by providing clear instructions on how to complete each section of the form online. With this step-by-step approach, you can efficiently fill out the form and ensure all necessary information is provided.
Follow the steps to successfully complete your enrollment form.
- Click the ‘Get Form’ button to access the enrollment form and open it in your online editor.
- Begin by filling out the primary insured information. Enter your student ID number, followed by your social security number, full name, date of birth, and permanent U.S. address, including city, state, and zip code.
- Provide your expected date of graduation, also including the month, day, and year.
- Complete the mailing address section, if different from your permanent address. If the addresses are the same, this step can be skipped.
- Next, enter your contact information which includes your telephone number and email address.
- Proceed to the dependent information section. Enter the necessary details for any dependents you wish to enroll. Include their first names, last names, social security numbers, genders, and dates of birth. If you have more dependents, attach a blank sheet with their information.
- Review the notice to student section and ensure you meet all the eligibility requirements. Your understanding and acknowledgement are important for your enrollment.
- Sign and date the form at the provided area. Ensure that your signature is clear and the date is accurately filled in.
- Select your campus name from the options provided, indicating the specific campus you are attending.
- Choose the insured category that applies to you, ensuring to check all relevant boxes, including options for domestic or international coverage.
- Review the period codes and select the types of coverage you need for the various academic terms.
- Complete the payment section if applicable. Provide the necessary credit card information and authorized signature along with any check amounts, if you are opting for a check payment.
- Finally, save your document. You can download, print, or share the completed form as needed.
Complete your enrollment form online today to ensure timely processing of your insurance coverage!
Proof of address for NYC public schools requires official documentation that verifies where you live. This can be in the form of a utility bill, rental agreement, or similar document that includes your name and address. Utilizing the Fillable Online ENROLLMENT FORM FOR CONTINUATION STUDENTS can assist you in managing this information effectively.
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