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RESIGN AND MEMBER DISTRICT PREMIUM CHARGE AND TRANSFER AUTHORIZATION FORM District Name: Superintendent Name: Phone Number: Email: Benefit Manager Name: Phone Number: Email: Payroll Contact: Phone
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Premium charge and transfer is a fee or cost associated with transferring ownership or making changes to a premium account or service.
Any individual or entity that is making changes or transferring ownership of a premium service or account may be required to file premium charge and transfer forms.
To fill out premium charge and transfer forms, provide detailed information about the changes or transfer being made, as well as any relevant account or service details.
The purpose of premium charge and transfer forms is to document and process any changes or ownership transfers of premium services or accounts.
Information such as account details, ownership changes, and any relevant fees or costs must be reported on premium charge and transfer forms.
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