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CARRIER MDWizards.com HEALTH INSURANCE CLAIM FORM APPROVED BY NATIONAL UNIFORM CLAIM COMMITTEE (NCC) 02/12 PICA (Medicare #) MEDICAID TRI CARE CHAM PVA (Medicaid #) (ID#/DoD#) (Member ID#) GROUP HEALTH

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What is provisional certificate of registry?

The provisional certificate of registry is a document issued to ships that have validly applied for registry as part of the registration process.

Who is required to file provisional certificate of registry?

Shipowners or operators who are applying for registry of their ships are required to file a provisional certificate of registry.

How to fill out provisional certificate of registry?

The provisional certificate of registry can be filled out by providing information about the ship, its ownership, and other relevant details requested on the form.

What is the purpose of provisional certificate of registry?

The purpose of the provisional certificate of registry is to provide temporary documentation to ships that are in the process of being registered.

What information must be reported on provisional certificate of registry?

Information such as the ship's name, ownership details, tonnage, dimensions, and intended use must be reported on the provisional certificate of registry.

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