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Request for Continuation of Medical Coverage for Disabled Student (Michelle's Law) Employee Instructions: Note: Complete sections 1 through7. Aetna has the right to require physician certification
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How to fill out request for continuation of

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How to fill out a request for continuation of:

01
Begin by providing your full name, contact information, and any other relevant personal details required on the form.
02
Clearly state the reason for your request for continuation. This could be due to various circumstances, such as a medical condition, ongoing education, or personal commitments.
03
Include any supporting documentation or evidence that substantiates your need for continuation. This might include medical certificates, enrollment confirmation, or any other relevant documents.
04
Indicate the specific dates for which you are seeking continuation. Be as precise as possible to avoid any confusion or misunderstandings.
05
If applicable, explain any alternative arrangements or accommodations you have made to ensure the continuity of your responsibilities during the requested period.
06
Express gratitude and appreciation to the recipient for their consideration and understanding in processing your request.

Who needs a request for continuation of:

01
Students: Students who need to take a break from their studies due to personal or medical reasons may need to submit a request for continuation of their educational program.
02
Employees: In certain circumstances, employees may require a request for continuation if they need to extend a leave of absence or an absence due to personal circumstances.
03
Researchers or Scholars: Individuals involved in research or academic work may need to request a continuation of their projects or funding if unforeseen circumstances arise that hinder their progress.
Remember, the specific individuals or entities that require a request for continuation may vary depending on the context and purpose of the request. It is crucial to consult the relevant guidelines or policies of the institution or organization to determine the appropriate channels for submitting such a request.
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Request for continuation of is a formal application or document submitted to extend or renew a specific request or action.
The individual or entity who needs to extend or renew a specific request or action is required to file the request for continuation of.
To fill out a request for continuation of, one must provide all necessary information required by the requesting authority, sign and date the document, and submit it before the deadline.
The purpose of a request for continuation of is to formally request an extension or renewal of a specific request or action that is time-bound.
The request for continuation of must include details such as the original request or action being extended, the reason for the extension, any supporting documentation, and contact information for the requester.
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