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AMENDMENT NO. 22 This amendment forms a part of Group Policy No. 45293 001 issued to the Policyholder: American Services LLC D/B/A Telehealth The entire policy is replaced by the policy attached to
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Step 1: Start by opening the amendment form number 22.
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Step 3: Fill in the required personal information section, including your name, address, and contact details.
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Step 4: Carefully review the information you entered in the original form that requires amendment and identify the specific changes you need to make.
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Amendment no 22 refers to a specific change or addition made to a previous document or record.
The entity or individual responsible for the document or record being amended is required to file amendment no 22.
To fill out amendment no 22, you must clearly indicate the changes or additions being made and provide any necessary supporting documentation.
The purpose of amendment no 22 is to ensure that any corrections or updates to a document or record are accurately reflected.
The information required to be reported on amendment no 22 will depend on the specific document or record being amended.
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