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W WRITTEN M EMBER G GRIEVANCE AND A APPEAL F ORM F FLORIDA Please use this form to help file a grievance or appeal with LIBERTY Dental Plan (LIBERTY). If you are filing an appeal, you must sign and

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How to fill out w ritten m ember

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To fill out a written member, follow these steps:

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Begin by writing the date at the top of the form.

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A written member is a document used to record decisions made by members of an organization without holding a formal meeting.

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Any organization or group that has members who need to make decisions outside of meetings may be required to file a written member.

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The purpose of a written member is to ensure that decisions made by members of an organization are properly documented and filed for future reference.

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