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Get the free For your protection, the following disclosures are required by state law - neshaminy...

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Send to: Group STD Claims, P.O. Box 26160, Leigh Valley, PA 18002-6160. Customer Service: (800) 268-2525, Fax: ...
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Provide accurate personal details: Begin by filling out your personal details accurately. This typically includes your full name, address, contact information, and social security number. It's important to be precise and double-check the information you enter.
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Who needs the for your protection form:

01
Individuals seeking legal protection: The "For Your Protection" form is often required by various legal authorities to gather necessary information for providing protection to individuals. This could include those who have experienced harassment, violence, or any other form of personal threat.
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Victims of identity theft: People who have been victims of identity theft and need to report or prevent fraudulent activities may be required to fill out the "For Your Protection" form. This helps authorities understand the situation better and take appropriate action.
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Individuals applying for restraining orders: If you are seeking a restraining order or any form of legal protection against someone, you might be asked to fill out the "For Your Protection" form. This ensures that the relevant authorities have all the required information to assess and address the situation effectively.
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Form 1095-A, also known as the Health Insurance Marketplace Statement, is for your protection form.
Individuals who enrolled in a qualified health plan through the Health Insurance Marketplace are required to file for your protection form.
You can fill out Form 1095-A by providing information about your health insurance coverage and any premium tax credits you may have received.
The purpose of Form 1095-A is to report information about your health insurance coverage to the IRS and to reconcile any premium tax credits you may have received.
You must report information about your health insurance coverage, including the dates of coverage and the amount of any premium tax credits you received.
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