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DISTRICT OF COLUMBIA EMPLOYEES BENEFITS ENROLLMENT REGISTRATION FORM TEMPORARY CONTINUATION OF COVERAGE If you wish to continue your health coverage beyond the 31-day extension, this enrollment form

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What is tcc benefits enrollment form?

The tcc benefits enrollment form is a document used to enroll in benefits offered by the TCC (Transitional Care Center).

Who is required to file tcc benefits enrollment form?

Any individual who wishes to enroll in the benefits provided by the TCC is required to file the tcc benefits enrollment form.

How to fill out tcc benefits enrollment form?

To fill out the tcc benefits enrollment form, you need to provide your personal information, select the benefits you want to enroll in, and sign the form.

What is the purpose of tcc benefits enrollment form?

The purpose of the tcc benefits enrollment form is to collect information about individuals who want to enroll in the benefits offered by the TCC.

What information must be reported on tcc benefits enrollment form?

The tcc benefits enrollment form usually requires individuals to report their full name, address, contact information, social security number, and the benefits they wish to enroll in.

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