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Request for International Medical/Evacuation Insurance Form RM23 (Faculty/Staff need to Submit a Trip Request in Concur for University Travel) Date of Request: Prepared By: Name: Send ID Cards to:
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How to fill out form RM23 - Purdue:

01
Start by obtaining form RM23 - Purdue. You can typically find this form on Purdue University's website or by contacting the relevant department or office directly.
02
Carefully read the instructions provided with the form to ensure that you understand the purpose and requirements of filling it out.
03
Begin by entering your personal information in the appropriate sections of the form. This may include your full name, address, contact details, and student or employee identification number.
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Fill out the required fields related to your academic or employment information. This could include your program of study, major or department, expected graduation date, and any relevant faculty or advisor information.
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Be sure to accurately provide any additional information or document attachments requested on the form. This could include transcripts, letters of recommendation, or other supporting documentation.
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Review the completed form to ensure that all information provided is accurate and legible. Double-check that you have not missed any required fields or sections.
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If required, sign and date the form in the designated areas. Verify if any witness signature or additional authorization is necessary.
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Make a copy of the entire filled-out form for your records before submitting it.
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Submit the completed form RM23 - Purdue to the appropriate department or office as instructed on the form or by the concerned authorities. You may need to mail it, drop it off in person, or submit it online, depending on the instructions given.
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Keep a record of when and how you submitted the form for future reference.

Who needs form RM23 - Purdue?

01
Students at Purdue University who need to report a change in their academic information or records may be required to fill out form RM23 - Purdue.
02
Employees or staff members at Purdue University who need to update their employment-related information may also need to complete this form.
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The specific situations or circumstances that require the use of form RM23 - Purdue may vary, so it is essential to consult the relevant department or office for guidance on whether this form is necessary for your particular needs.
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