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DISC III ENROLLMENT FORM District Use ? MEDICAL ? DENTAL SECTION I: APPLICANT INFORMATION (Print clearly in black ink) SOCIAL SECURITY NO. LAST NAME (PRINT) FIRST NAME (PRINT) MI DATE OF BIRTH / /

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How to Fill Out and Return Your Completed Form:

1. Begin by carefully reading the instructions: Before you start filling out the form, make sure to go through the provided instructions thoroughly. Familiarize yourself with the requirements, guidelines, and any additional documents you may need to include.
2. Provide accurate and complete information: Ensure that all the required fields are filled with accurate and up-to-date information. Double-check your responses to avoid any mistakes or omissions, as this could potentially delay the processing of your form.
3. Follow the format and structure: Pay attention to the format and layout of the form. Use clear and legible handwriting or type your responses if the form allows. Follow the designated sections and order of information requested.
4. Attach any necessary supporting documents: Review the instructions to determine if any additional documents need to be included with your completed form. These may include identification proofs, certificates, or other supporting materials that validate the information you provide.
5. Check for any applicable fees: Some forms may require a fee to be paid along with the submission. Make sure to check the instructions or consult with the relevant authority to determine if a fee is applicable and how to make the payment correctly.
6. Sign and date the form: Most forms require a signature and date to validate your submission. Ensure that you sign the form using your legal signature, and date it accurately.
7. Review and proofread: Before submitting the form, carefully review all the information you have provided. Check for any errors, inconsistencies, or missing details. It's crucial to correct any mistakes before submitting to avoid potential complications later.

Who Needs to Return Your Completed Form:

1. Individuals: In many cases, individuals are required to fill out and return completed forms. This can include various scenarios such as job applications, tax forms, or applications for government benefits.
2. Students: Students may need to complete forms related to their enrollment, financial aid, or scholarship applications. These forms could be required by their educational institutions or other organizations providing funding or support.
3. Businesses and Organizations: Companies and organizations often need to complete and submit forms for various purposes. This can include tax returns, permit applications, licensing documents, or contract agreements.

Remember, the specific requirements for returning a completed form can vary depending on the purpose and the issuing authority. It is always advisable to carefully read and follow the instructions provided with the form to ensure a smooth and accurate submission.

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