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Plan Service Center User Change Form PLEASE PRINT LEGIBLY IN BLACK OR BLUE INK 1. Applicant Information Client Type: Client PPS Company Name: Policy: Broker/Agent Third Party Client Representative
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Go to the plan service center website and click on the "Sign Up" button.
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Fill out the required personal information such as your name, email address, and password.
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Individuals who are looking to access services or resources provided by the plan service center.
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Plan service center user is an individual or entity that utilizes the services provided by a plan service center.
Any individual or entity that utilizes the services provided by a plan service center is required to file as a plan service center user.
Plan service center user can be filled out by providing the required information about the individual or entity utilizing the services of the plan service center.
The purpose of plan service center user is to ensure that all individuals or entities utilizing the services of a plan service center are accounted for and properly identified.
The information that must be reported on plan service center user includes the name, contact information, and services utilized by the individual or entity.
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SSN 3rd LEGIBLY disbursements disbursement signatory Signer PPS applicable participant Applicant Users Mailing User

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