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FOR LIB USE Uniform LG02 Revised 10/15Date:LOCAL GOVERNMENT HEALTH INSURANCE PROGRAM 2016 STATUS CHANGE FORM Initials: SUBSCRIBER INFORMATION (Please print or type.) Name (First, Middle Initial, Last)Social
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Form LG02 is required by individuals or entities who need to provide certain information or documentation as mandated by the specific purpose of the form. This could include but is not limited to:
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Form LG02 is a document used to report certain financial information to the relevant authorities.
Any individual or entity that meets the requirements set forth by the authorities must file form LG02.
Form LG02 can be filled out electronically or manually, following the instructions provided by the authorities.
The purpose of form LG02 is to collect specific financial data for regulatory or compliance purposes.
Form LG02 typically requires information such as income, expenses, assets, and liabilities.
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