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TRI CARE PRIME ENROLLMENT APPLICATION AND PRIMARY CARE MANAGER (PCM) CHANGE FORM OMB No. 0720-0008 OMB approval expires (Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions
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How to fill out agency disclosure notice

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How to fill out agency disclosure notice:

01
Begin by carefully reading the agency disclosure notice. Familiarize yourself with the content and understand its purpose.
02
Provide the necessary contact information. Fill in your name, address, phone number, and email address accurately.
03
Identify the agency. Indicate the name of the real estate agency or brokerage firm you are affiliated with.
04
Specify the type of agency relationship. Check the appropriate box to indicate whether you are acting as the seller's agent, buyer's agent, or dual agent.
05
If you are acting as a dual agent, disclose this in detail. Include information about any conflicts of interest and explain the limitations of your duties to both parties.
06
If applicable, disclose any additional parties involved in the transaction. This may include other agents, subagents, or referral agents.
07
Provide necessary details about your license and membership. Include your real estate license number and any relevant memberships or affiliations.
08
Acknowledge any potential conflicts of interest. If you have a personal or financial interest in the property or if you are related to any of the parties involved, disclose it in this section.
09
Sign and date the agency disclosure notice. By signing, you confirm that you have provided all the required information accurately and truthfully.

Who needs agency disclosure notice:

01
Real estate agents and brokers: It is their responsibility to provide the agency disclosure notice to their clients.
02
Buyers and sellers: Both parties involved in a real estate transaction need to receive the agency disclosure notice to understand the agency relationship with their agent.
03
Dual agents: If a real estate agent is representing both the buyer and the seller in a transaction, they must ensure that both parties receive the agency disclosure notice.
Remember, the specific requirements regarding the agency disclosure notice may vary based on local regulations and laws. It is important to consult with your state's real estate commission or attorney for specific guidelines.
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An agency disclosure notice is a document that informs clients about the roles and responsibilities of the real estate agents involved in a transaction.
Real estate agents are required to file agency disclosure notices with their clients.
The agency disclosure notice should be filled out with the relevant information about the real estate agents and the services they provide to the clients.
The purpose of the agency disclosure notice is to ensure transparency and clarity in the relationship between real estate agents and their clients.
The agency disclosure notice must include information about the real estate agents' roles, responsibilities, and any potential conflicts of interest.
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