
Get the free In order for a change of Beneficiary request to be processed, the Beneficiary must m...
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Purchaser Signature Date NOTICE Purchasers who knowingly supply fraudulent documentation will be subject to penalties defined in the MPACT Master Contract and other civil and criminal penalties as provided by law. In these instances the Projected Enrollment Year of the original Beneficiary will remain the same for the Substitute Beneficiary. CHANGE OF BENEFICIARY FORM In order for a change of Beneficiary request to be processed the Beneficiary must meet all requirements outlined in the MPACT...
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