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PRIOR APPROVAL REQUEST Send completed form to: Service Benefit Plan Prior Approval P.O. Box 52080 MC 139 Additional information is required to process your claim for prescription drugs. Please complete

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How to fill out forms will be returned:

1. Start by reading the form carefully: Begin by thoroughly reading the instructions provided on the form. Understand the purpose of the form and what information needs to be filled out.
2. Gather the necessary information: Before starting to fill out the form, collect all the relevant information that is required. This may include personal details, identification numbers, dates, addresses, or any specific documents that need to be attached.
3. Complete each section accurately: Fill out each section of the form accurately and clearly. Pay attention to any specific format or guidelines provided. Double-check the information entered to ensure there are no mistakes or missing details.
4. Use black or blue ink: When filling out a physical form, use a black or blue ink pen to ensure the information is easily readable. Avoid using pencils or colored pens that may fade or be difficult to read.
5. Answer all required fields: Make sure to fill out all the mandatory fields in the form. These are usually marked with an asterisk (*) or specified in the instructions. Leaving any required fields blank could result in the form being returned or not processed.
6. Provide supporting documents, if necessary: If the form requires any supporting documents, ensure they are attached or submitted along with the form. This may include photocopies of identification, proof of address, or any other relevant documents requested in the instructions.
7. Review and proofread: Before submitting the form, take a moment to review all the information filled out. Double-check for any errors, misspellings, or incorrect information. It's always a good idea to have someone else review the form as well, to catch any mistakes you may have missed.

Who needs forms will be returned?

1. Individuals applying for government services: Forms may be required when applying for government services such as social security, unemployment benefits, healthcare assistance, or permits/licenses.
2. Students applying for educational programs: Forms are commonly needed when applying for schools, colleges, universities, or scholarship programs. These forms typically require personal information, academic records, and sometimes essays or recommendation letters.
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5. Legal proceedings: Forms play a crucial role in legal proceedings, including filing lawsuits, submitting evidence, or initiating legal actions. Attorneys, individuals involved in dispute resolution, or those dealing with legal matters often need to fill out specific legal forms.

Always consult the specific requirements and instructions provided with the form to ensure accuracy and compliance.

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