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BENEFITS
INVESTIGATION
Format: 18883353264
Phone: 1855EYLEA4U (18553953248), Option 4
www.EYLEA4Ueportal.comSection 1.1: Support Requested
5 Preliminary Benefits InvestigationAnticipated date of treatment:Section
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1 support requested is a legal document used to request financial support for a child or dependent.
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The custodial parent or guardian is required to file 1 support requested.
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1 support requested must be filled out with the income, expenses, and needs of the child or dependent.
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The purpose of 1 support requested is to ensure that the child or dependent receives the financial support they need.
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Information such as income, expenses, and needs of the child or dependent must be reported on 1 support requested.
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