Arlington Texas Personal Representative Request Form

State:
Multi-State
City:
Arlington
Control #:
US-3578
Format:
PDF
Instant download

Description

This form is used by a health plan to identify a representative of a subscriber who has legal authority to make health care decisions for the subscriber, such as a guardian, person appointed in a power of attorney, or other documented authority.
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FAQ

Arlington House is located inside Arlington National Cemetery. From Washington, D.C. you can drive to the cemetery by crossing the Memorial Bridge.

Arlington is well connected to Washington, D.C. and the greater region with 11 Metro stations on the Orange, Silver, Blue and Yellow lines, plus easy connections to the Red Line for access to Amtrak Washington, D.C. Union Station. Check out Metro's Trip Planner for more info.

If you enjoy outdoor activities, then you may enjoy Arlington more than DC. The county offers many large parks and long hiking trails that you won't find in DC. If you are more interested in exploring a big city, then you may want to select DC.

From 1801 to 1847, what are now Arlington and a portion of the were known as Alexandria County, District of Columbia. In 1847, at the request of the local residents, Congress retroceded Alexandria County to the Commonwealth of Virginia.

Arlington, Texas Arlington ZIP Codes 76001-76007, 76010-76018, 76094, 76096 Area codes 682,817, 214, 469, 945, 972 FIPS code 48-04000 GNIS feature ID 137232030 more rows Arlington, Texas - Wikipedia wikipedia.org ? wiki ? Arlington,_Texas wikipedia.org ? wiki ? Arlington,_Texas

Arlington, urban county in northern Virginia, U.S., lying across the Potomac River (southwest) from Washington, D.C., and adjoining the (south). Arlington is connected to Washington by five bridges?Francis Scott Key, Arlington Memorial, George Mason, Theodore Roosevelt, and Rochambeau Memorial.

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Arlington Texas Personal Representative Request Form