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210 Mailing Address: Des Moines, IA 50392-0002 This form is for: Requested effective date: new case amendment Employer Application for Group Insurance MT Account number Advanced premium received $
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What is paper appl submission form?
Paper appl submission form is a physical form that needs to be filled out and submitted in hard-copy format.
Who is required to file paper appl submission form?
Any individual or organization that is unable to submit the appl form electronically is required to file the paper appl submission form.
How to fill out paper appl submission form?
To fill out the paper appl submission form, you need to obtain a physical copy of the form, provide the required information manually, and submit it via mail or in person.
What is the purpose of paper appl submission form?
The purpose of the paper appl submission form is to allow individuals or organizations to submit their application in a physical format when electronic submission is not possible.
What information must be reported on paper appl submission form?
The specific information required on the paper appl submission form may vary depending on the application type, but typically it includes personal or organizational details, purpose of application, supporting documentation, and any required signatures.
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