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Fourth Annual Basil Paterson Scholarship Program A Benefit for the 1199SEIU Home Care Industry Education Fund Date: Location: Time: Dress: Wednesday, April 27, 2016 330 West 42nd Street, Penthouse

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1. Begin by gathering all necessary information, such as your personal details, employment information, and medical history.
2. Access the chiropractor 1199seiu form either online or through your employer's HR department.
3. Carefully read the instructions provided with the form to ensure you understand all the requirements and sections.
4. Fill in your personal information, including your full name, address, social security number, and contact details.
5. Provide your employment information, such as the name of your employer, union membership details, and job title.
6. Next, fill out the medical history section by providing accurate and up-to-date information about any pre-existing conditions or previous chiropractic treatments.
7. If applicable, mention any dependent(s) who will also be receiving chiropractic care under your coverage.
8. Double-check all the information you have entered to ensure accuracy and completeness.
9. Sign and date the form once you have reviewed it thoroughly.
10. Submit the filled-out chiropractor 1199seiu form according to the instructions provided, either through mail, email, or directly to your HR department.

Who needs chiropractor 1199seiu:

1. Employees who are members of the 1199SEIU healthcare workers' union may require chiropractic care covered under this specific plan.
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