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Form LG06 Revised 10/15 Carefully read back of form before you complete this side. Please type or print legibly. LIB Use Only Local Government Health Insurance Board Post Office Box 304900 Montgomery,
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Begin by accessing the reviewappeal form - blghiporgb on the website.
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Fill in your personal information such as your name, email address, and phone number.
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Provide details about the review you are appealing, including the date it was posted and the specific content of the review.
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Explain why you believe the review is inaccurate or misleading, and provide any evidence or documentation that supports your claim.
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If applicable, mention any attempts you have made to resolve the issue directly with the reviewer or the platform where the review was posted.
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Review your completed form for accuracy and completeness before submitting it.
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