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Continuation of Coverage Form 6450 US Highway 1, Rock ledge, Florida 32955 Toll free 844.522.5279 www.myFHCA.org Employer name Group # Policy Employer authorization Section 1 Select type of continuation:
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Start by providing your personal information. This includes your name, address, contact details, and any other required information.
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Next, mention the previous document or form that you are continuing. Specify the name or identification number of the document, as well as the date it was filed.
03
Explain the reason for the continuation. Clearly state why you are submitting this continuation and what additional information or updates it contains.
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Organize the continuation in a logical and clear manner. Use headings, subheadings, and bullet points where necessary to make it easy to read and understand.
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Provide any new or updated information that is relevant to the previous document. This could include changes in personal details, additional documentation, or any other relevant details.
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Ensure that the continuation is complete and accurate. Double-check all the information provided to avoid any errors or omissions.

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Individuals who have already submitted a document or form that requires additional information or updates.
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Businesses or organizations that need to provide further details or amendments to a previously submitted document.
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Continuation of is a process that allows for the extension or continuation of a particular action or document.
Individuals or entities who need to extend or continue a specific action or document are required to file continuation of.
To fill out continuation of, one must provide relevant information and follow the specific instructions outlined in the form or document.
The purpose of continuation of is to ensure that a particular action or document is extended or continued beyond its original deadline or expiration date.
The information required on a continuation of form may vary depending on the specific action or document being extended, but typically includes identifying details and reasons for the extension.
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