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8425 BRENTWOOD BLVD., STE A1 BRENTWOOD, CA 94513 PLEASE FAX THE ATTACHED CONTRACT TO 925-520-2449 ENSURE YOU INCLUDE: — A COPY OF YOUR CURRENT INSURANCE LICENSE — ALONG WITH ANY OTHER SUPPORTING

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1. Start by carefully reviewing the entire form to understand the required information. Take note of any instructions or guidelines provided.
2. Begin by filling out your personal information such as your name, address, phone number, and email address. Make sure to write legibly and use the appropriate format requested (e.g., first name, last name).
3. If applicable, provide any additional identification details requested, such as a social security number or employee ID.
4. Proceed to the section of the form that requires specific information related to the purpose of the fax. For example, if it is a medical form, you may need to provide details about your medical history or current symptoms. Follow the instructions provided and provide accurate and complete information.
5. Double-check that you have provided all the necessary information on the form. Ensure that you have signed and dated it if required.
6. If there is an option to include any supporting documents or attachments, make sure to attach them securely to the form.
7. Once you have filled out the form, review it again to ensure everything is accurate and complete.
8. Prepare the form for faxing by placing it neatly on a clean surface and removing any staples or paperclips that could interfere with the standard faxing process.
9. Take note of the fax number provided on the form or any accompanying instructions. Dial the fax number on your fax machine or through an online fax service.
10. Send the form by following the appropriate steps for your chosen faxing method, ensuring that it is sent securely and through the correct channels.
11. Keep a copy of the filled-out form for your records.

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1. Individuals or organizations that require your information and documentation in a specific format.
2. Companies, institutions, or government agencies that require physical copies of documents for their records.
3. Any entity that prefers to receive information via fax rather than other means of communication such as email or mail.

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