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VISION CARE CLAIM FORM INSTRUCTIONS: IMPORTANT: SEND FORM TO: Complete a separate form for each family member for whom you are claiming expenses. Attach bills for each expense and fully itemize them
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A separate form may need to be completed by individuals who have unique circumstances or requirements that cannot be covered in a general form. The need for a separate form could arise in various situations, such as applying for special accommodations, requesting specific services, or providing additional information that is not requested in a standard form. This may apply to students, employees, customers, patients, or any individuals who need to provide customized information or request specific actions.
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It is a form that needs to be filled out separately from other forms.
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