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Claim Form:Layout 1 11/13/15 10:52 AM Page 1 Mail this form to: IA TSE National Health & Welfare Fund Medical Reimbursement Claims Unit 417 Fifth Avenue, Third Floor New York, New York 100162204 Email

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To fill out the "Mail this form to" section, follow these steps:

1. Begin by locating the "Mail this form to" field on the form. It is usually found at the top or bottom of the form.
2. Write down the complete mailing address of the recipient in this field. Include the recipient's name, street address, city, state, and zip code.
3. Ensure that the address is accurate and properly formatted. Double-check for any misspellings or errors in the recipient's name or address.

Now, let's discuss who needs to receive this form:

1. The form should be mailed to the designated recipient stated by the form instructions or any accompanying documents. Look for any specific instructions regarding who should receive the form.
2. In some cases, the form may need to be mailed to a specific department or individual within an organization. Make sure to follow any specific guidelines provided to ensure it reaches the intended recipient.
3. If the form does not specify a recipient, it is generally recommended to send it to the main office or department of the organization indicated on the form.

Remember to review the form instructions or accompanying documents for any additional details or specific requirements related to both filling out the "Mail this form to" section and determining the recipient of the form.

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Who is required to file mail this form to?

The individual or entity specified in the instructions for the form is required to file mail this form to.

How to fill out mail this form to?

Fill out the required fields on the form accurately and completely before mailing it to the designated recipient.

What is the purpose of mail this form to?

The purpose of mailing this form is to provide requested information to the recipient for processing.

What information must be reported on mail this form to?

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