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INSTRUCTIONS FOR THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE SCOREKEEPER (The Record keeper may be the Group Customer, a Third Party Administrator

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What is instructions for the statement?

Instructions for the statement provide guidance on how to properly fill out the statement.

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The entity or individual required to file the statement must also provide instructions.

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The purpose of instructions for the statement is to ensure that the statement is filled out accurately and completely.

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Instructions for the statement must include details on what each section of the form requires and how to calculate any figures.

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