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P.O. Box 22999, Rochester, NY 14692 A nonprofit independent licensee of the Blue Cross Bluesier Association Instructions on last page. All Dates mm/dd/by 1 Group Employer Information U.A. Local 13
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How to fill out all dates mmddyy

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To fill out all dates mmddyy, follow the steps below:
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Start by obtaining the date you want to fill out in mmddyy format.
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Write down the two-digit month. For example, if the date is January, write '01'.
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Write down the two-digit day. For example, if the date is the 15th, write '15'.
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Write down the last two digits of the year. For example, if the year is 2022, write '22'.
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Combine the month, day, and year digits together without any spaces. For example, if the month is '01', the day is '15', and the year is '22', the resulting mmddyy date would be '011522'.
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Repeat the above steps for each date you need to fill out.

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All dates mmddyy refers to dates in the format month/day/year, such as 01/20/22.
All individuals or entities who have transactions or activities on the specified dates must file all dates mmddyy.
To fill out all dates mmddyy, you need to report all relevant information and details for each date in the specified format.
The purpose of all dates mmddyy is to accurately document and report transactions or activities that occurred on specific dates.
All relevant information related to the transactions or activities on each date in the mmddyy format must be reported.
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