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If you leave your place of employment, you will have the option of converting your coverage to a DOMINION program using an alternate method of payment. M.I. First Last Name (if Different) Child Soc.
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Start by gathering all the necessary information such as your full name, contact information, and the date you plan to leave.
02
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Begin by completing the basic personal information section, including your name, address, and contact details.
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Provide details about your departure, such as the reason for leaving and your last working day.
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Once you have completed all the necessary forms, make copies for your own records before submitting them to the appropriate parties in your organization.

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Employees who have decided to leave their current job or are planning to quit.
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If you leave your job, you may need to file for unemployment benefits.
Anyone who has left their job and is seeking unemployment benefits may be required to file.
You can typically fill out for unemployment benefits online or through your state's unemployment office.
The purpose of filing if you leave your job is to potentially receive financial assistance while you search for a new job.
You may need to report details about your former employer, the reason for leaving your job, and your work history.
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