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PART II ATTENDING PHYSICIANS STATEMENT (STATEMENT OF CRITICAL ILLNESS) CHRONIC LUNG DISEASE This report is to be completed by a registered medical practitioner at the own expense of claimant. Name
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To fill out Part II - Attending, follow these steps:
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Start by writing your name, date of birth, and Social Security number at the top of the form.
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Next, provide your current address and contact information.
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Indicate your marital status and whether you have any dependents.
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List your employment history, starting with your most recent job.
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Provide details about your education, including the name of the institution and the degree or diploma earned.
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If you have served in the military, provide information about your service.
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Part II - Attending is a section of a form or document that typically pertains to the attendance record of an individual.
Part II - Attending is typically required to be filed by individuals who need to report their attendance or presence for a specific purpose.
To fill out Part II - Attending, individuals usually need to enter details such as dates of attendance, duration, and any relevant notes or comments.
The purpose of Part II - Attending is to provide a record of an individual's presence or attendance for tracking, monitoring, or compliance purposes.
The information reported on Part II - Attending may include dates of attendance, duration, reason for attendance, and any additional relevant details.
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