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PROXY The insured Member (Member) of the West Virginia Mutual Insurance Company (the Mutual), whose signature appears on this Proxy, hereby appoints and constitutes Robert L. Wheeler, M.D., to act
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How to fill out proxy - wvmiccom
How to fill out proxy - wvmiccom:
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Visit the website wvmiccom and navigate to the proxy form.
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Fill in your personal details such as your name, address, and contact information in the designated fields.
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Provide the details of the person you are appointing as your proxy, including their name, contact information, and any specific instructions you may have.
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Specify the date and time of the proxy appointment, ensuring that it aligns with the requirements set by wvmiccom.
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Submit the filled-out proxy form through the designated method specified by wvmiccom, such as online submission or mail.
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