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Get the free DISABLED DEPENDENT CERTIFICATION - Blue Cross of California

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DISABLED DEPENDENT CERTIFICATION TO BE COMPLETED BY THE SUBSCRIBER After completing the following section, please forward this form along with the enclosed envelope to your physician for his completion.
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Disabled dependent certification is a process where individuals certify the disability status of their dependents by providing necessary documentation and information.
Individuals who have dependents with disabilities are required to file disabled dependent certification.
To fill out disabled dependent certification, individuals need to provide information and documentation about the disability of their dependent, such as medical records, diagnosis information, and proof of disability.
The purpose of disabled dependent certification is to verify the disability status of dependents for various purposes, such as eligibility for certain benefits or tax deductions.
The information that must be reported on disabled dependent certification includes the dependent's name, date of birth, disability diagnosis, medical records, and any other relevant documentation.
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