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PLEASE PRINT OR PREAPPROVED OMB09381197 FORM 1500 (0212)Key: R Required in filing a claim NR Not required, not used S Situational, only used if appropriate specific to claim 1.TYPE OF HEALTH INSURANCE
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Key R is required in completing the new security system installation process.
Only certified technicians are required to file key R.
Key R can be filled out electronically or in paper form, following the provided guidelines.
The purpose of key R is to ensure that the security system is installed correctly and functions properly.
Key R requires details of the installation process, including equipment used and testing results.
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