Get Employer's Reference Guide Order Form For Small Group (2-50)

Completing the Employer's Reference Guide Order Form For SMALL GROUP (2-50) online can streamline your process for obtaining necessary materials for your small group. This guide will provide you with clear, step-by-step instructions to ensure a smooth experience.

Follow the steps to successfully complete the order form.

1. Press the ‘Get Form’ button to retrieve the order form and open it in your preferred editing tool.
2. Start by filling out the 'Date Requested' and 'Required Delivery Date' fields to specify the timeline for your order.
3. Provide your 'Requestor Name' and the 'Company Name' to identify who is making the request and for which organization.
4. In the 'Attention' field, list the person who should receive the order materials—this helps ensure proper delivery.
5. Complete the 'Street Address,' 'City,' 'State,' and 'Zip' fields accurately, noting that P.O. Box addresses cannot be processed.
6. Enter your contact 'Telephone #' and 'BCBS Account Manager' information to facilitate communication regarding your order.
7. Choose the 'Kit Type' by checking the appropriate box. Specify if you need a Dual Option kit, Out of State kits, or additional supplies.
8. Indicate the quantity and types of items you wish to order, such as enrollment kits, brochures, and claim forms. Fill in the 'QTY' field for each item.
9. Review your completed form to ensure all required fields are filled out correctly. Look for any errors or missed sections.
10. Once satisfied with the information entered, save your changes. You can then download, print, or share the form as necessary.

Complete your Employer's Reference Guide Order Form online today to ensure timely and accurate delivery of your required materials.