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ILLINOIS MUNICIPALITY
CONTINUATION COVERAGE
ELECTION FORM
Instructions: To choose Illinois Municipality Continuation Coverage, complete this Election Form and return it to Health
Alliance at the address
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How to fill out illinois municipality
How to fill out illinois municipality
01
Obtain the necessary forms: Visit the website of the Illinois municipality or local government office and download the application form for filling out municipality.
02
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04
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Submit the form: Once you have reviewed and verified the accuracy of your municipality form, submit it to the designated Illinois municipality office or local government office. Follow any specific submission instructions provided.
06
Keep copies: Make copies of your completed municipality form and any supporting documents for your records. It's always good to have a backup in case any issues arise in the future.
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Follow up if necessary: If you don't receive any confirmation or communication regarding your municipality form within a reasonable time, consider following up with the Illinois municipality office to ensure your application was received and is being processed.
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