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New Enrollment Name/Address Change Reinstatement Rehire GROUP ENROLLMENT/CHANGE FORM Annual Enrollment Change Enrollment Decline Coverage Termination P.O. BOX 45018, FRESNO, CA 937185018 (800) 4427247
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How to fill out a new enrollment name/address change:

01
Open the new enrollment form provided by the relevant organization.
02
Locate the section on the form that pertains to name/address change. This may be labeled as "Personal Information" or "Contact Details."
03
Fill in your current name and address in the designated fields. If you have changed your name, provide both your previous and new names to ensure proper documentation.
04
If the form requires supporting documents, such as a copy of your identification or proof of address, prepare these documents beforehand and attach them to the form as instructed.
05
Double-check all the information you have entered to ensure accuracy. Pay attention to spelling, punctuation, and formatting.
06
Once you are confident that all the required information is filled correctly, sign and date the form as needed.
07
Submit the completed form along with any supporting documents to the designated recipient. This may be an office, department, or online portal, depending on the organization's procedure.

Who needs a new enrollment name/address change?

01
Individuals who have legally changed their name due to marriage, divorce, or any other reasons.
02
Individuals who have recently moved to a new address.
03
Students or employees who have changed their enrollment status or affiliation with an institution or organization and need to update their personal information accordingly.
04
People whose identification documents do not accurately reflect their current name or address due to legal or administrative reasons.
05
Any individual who wants to ensure that their personal records are up to date and aligned with their current circumstances.
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New enrollment name/address change is a process of updating the information regarding an individual or entity's name and address in a database or records.
Any individual or entity who has had a change in their name or address is required to file a new enrollment name/address change.
To fill out a new enrollment name/address change, one must complete the necessary form provided by the relevant organization, and submit it along with any supporting documentation.
The purpose of new enrollment name/address change is to ensure that accurate and up-to-date information is maintained for individuals or entities in records or databases.
The information that must be reported on a new enrollment name/address change includes the individual or entity's previous name and address, as well as the updated name and address.
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