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Get the free Additional dependant application form - LA Health Medical Scheme

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Contact us Tel: 0860 103 933, PO Box 652509, Kenmore 2010, www.lahealth.co.za Application for addition of dependent(s) Dear Member The application for membership of LA Health is conditional upon you:
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The additional dependent application form is a form used to add dependents to an existing application or request for benefits.
Any individual who wants to include additional dependents on their application or request for benefits is required to file the additional dependent application form.
To fill out the additional dependent application form, you need to provide the required information about the additional dependents, such as their names, dates of birth, and relationship to the applicant. It is important to ensure that all the information provided is accurate and complete.
The purpose of the additional dependent application form is to gather information about additional dependents who should be included in the application or request for benefits. This form helps ensure that all eligible dependents are considered for the benefits or services being sought.
The additional dependent application form typically requires information such as the names, dates of birth, and relationship to the applicant of the additional dependents. Additional information, such as social security numbers or proof of dependency, may also be required depending on the specific application or request for benefits.
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