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Coverage Tier Tobacco Tob Spouse Sp Surcharge SC 10 Employee 40 Employee Tob SC 94 Employee Child ren Female IV. NEW ENROLLMENT New Hire New Enrollee or Returning Member with break in coverage who missed an Open Enrollment Choose one of the options below - Acronyms HRA Health Reimbursement Arrangement HDHP High Deductible Health Plan CIGNA 35 Choice Fund HRA 85 Open Access Plus HDHP UNITED HealthCare 31 HRA 08 HDHP TRANSFER FROM ANOTHER SHBP covered AGENCY OR SCHOOL SYSTEM or RE-ENROLLMENT...
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How to fill out new enrollmenttransfer form

01
Read the instructions on the form carefully.
02
Gather all the necessary documents and information needed to fill out the form.
03
Start by entering your personal details such as your name, address, and contact information.
04
Provide the necessary information about the school or institution you are transferring from.
05
Indicate the reason for the transfer and the desired school or institution you wish to enroll in.
06
Include any additional information or supporting documents required by the enrollment office.
07
Review the form for completeness and accuracy before submitting it.
08
Submit the filled-out form to the appropriate enrollment office in person or via mail.
09
Follow up with the enrollment office to ensure that your transfer request has been processed.
10
Keep a copy of the filled-out form and any related documents for your records.

Who needs new enrollmenttransfer form?

01
Students who are currently enrolled in a school or institution and wish to transfer to a different one.
02
Parents or legal guardians of students who need to facilitate the transfer process for their children.
03
Individuals who are new to a school district or institution and need to enroll for the first time.
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The new enrollmenttransfer form is a document used to transfer a student's enrollment from one school to another.
Both the student's current school and the new school are required to file the new enrollmenttransfer form.
The new enrollmenttransfer form should be completed with the student's information, including current school, new school, enrollment dates, and reason for transfer.
The purpose of the new enrollmenttransfer form is to officially transfer a student's enrollment records from one school to another.
The new enrollmenttransfer form must include the student's name, current school, new school, enrollment dates, reason for transfer, and signatures from both schools.
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