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Get the free Vermont Blue 65 SM - BCBSVT

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Please send this form to: Blue Cross and Blue Shield of Vermont P.O. Box 186 Montpelier, VT 056010186Vermont Blue 65SM Group # IndividualApplication and Change Formation 1: Subscriber Coverage Information
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Vermont blue 65 sm is a specific tax form used in the state of Vermont to report certain types of income.
Individuals or businesses with qualifying income in Vermont are required to file vermont blue 65 sm.
To fill out vermont blue 65 sm, you will need to gather all necessary income information and follow the instructions provided on the form.
The purpose of vermont blue 65 sm is to report specific types of income to the state of Vermont for tax purposes.
On vermont blue 65 sm, you must report details of your income, deductions, and any applicable credits.
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