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P.O. Box 535057 Pittsburgh, PA 152535057 Tel: 8003285433 Fax: 4125441246 HMI.comm Stop Loss Application for InsurancePlease Type or Print Must be completed in full. Applicant Information Full Legal
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To fill out the full legal name, follow these steps:
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Start with your first name: Write your legal first name as it appears on your official identification documents.
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Include middle name (if applicable): If you have a middle name, include it after your first name. Make sure to write it exactly as it is on your official documents.
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Write your last name: Your last name, also known as surname or family name, should be written as it appears on your official documents.
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Add suffix (if you have one): If you have a suffix such as Jr., Sr., III, or any other applicable designation, include it after your last name.
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Double-check the spelling: Ensure that all the names and spellings are accurate and match the information on your identification documents.

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Full legal name refers to the complete and official name of an individual as it appears on legal documents.
Anyone who is requested to provide their full legal name for official or legal purposes.
Fill out full legal name by typing out the person's first name, middle name (if applicable), and last name in the designated fields.
The purpose of full legal name is to accurately identify an individual for legal or official matters.
The information reported on full legal name typically includes the individual's first name, middle name, and last name.
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