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INSTRUCTIONS THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE SCOREKEEPER (The Record keeper may be the Group Customer, a Third Party Administrator
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To fill out the recordkeeper, follow these steps:
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Step 2: Start with the basic details such as the name, date, and related identification numbers.
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Step 3: Record all relevant transactions, including deposits, withdrawals, transfers, and any adjustments.
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The recordkeeper should be filled by individuals, businesses, or organizations who are responsible for maintaining accurate and organized records of their financial transactions. This includes accountants, bookkeepers, financial institutions, and any entity that requires a comprehensive record of their financial activities.

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The recordkeeper should fill out the necessary forms and documentation.
The recordkeeper or designated individual responsible for maintaining records is required to fill the forms.
The recordkeeper should follow the guidelines provided and accurately complete all required fields.
The purpose of the recordkeeper filling out the forms is to maintain accurate and up-to-date records for compliance and reporting purposes.
The recordkeeper must report all relevant information regarding the records being maintained.
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