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United of Omaha Life Insurance Company A Mutual of Omaha Company Application For Medicare Supplement Coverage NOTE: For ALL sections, ONLY complete the Applicant B information if to be insured. 1.

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To fill out the "please read" form following, it is essential to follow a step-by-step approach. This form is typically required by individuals or organizations who want to ensure that all parties involved have read and understood the specified information. Here is a point-by-point guide on how to fill out this form and who may need it:

1. Read the Instructions: Start by carefully reading the instructions provided on the form. These instructions will outline the purpose of the form and any specific guidelines or requirements for completing it.
2. Provide Personal Information: Begin by filling out the necessary personal information fields. This may include your full name, contact details, and any other identifying information as required.
3. Acknowledge Understanding: Some "please read" forms may include a section where you need to acknowledge that you have read and understood the content. Tick or mark the appropriate box to indicate your understanding.
4. Sign and Date: Once you have completed filling out the form, sign and date it. This serves as your confirmation that you have filled out the form accurately and honestly.
5. Submit or Retain a Copy: Depending on the purpose of the form, you may need to submit it to a specific individual or organization. Follow any instructions regarding submission. Alternatively, you may need to retain a copy for your own records.

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The "please read" form following may be needed in various situations. Here are a few examples:

1. Employment Contracts: Employers often require new employees to fill out a "please read" form to ensure they have read and understood the terms and conditions of employment.
2. Legal Documents: Lawyers may use a "please read" form to ensure that their clients have reviewed and comprehended important legal documents before proceeding with any legal actions.
3. Consent Forms: In medical or research settings, consent forms are commonly accompanied by a "please read" form, ensuring that individuals understand the risks and benefits associated with the procedures they are consenting to.

In summary, to fill out the "please read" form following, carefully read the instructions, provide your personal information, acknowledge understanding, sign and date the form. This form may be required by various individuals or organizations in contexts such as employment contracts, legal documents, or consent forms.

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