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HI22Los Angeles Unified School District Benefits Administration APPLICATION FOR CONTINUATION OF HEALTH BENEFITS (Complete this form at least 3 months before you retire) Employee Numberless NameAddressFirst
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How to fill out hi-22 application for continuation

01
To fill out the hi-22 application for continuation, follow these steps:
02
Start by downloading the hi-22 application form from the official website or obtain a physical copy from the relevant department.
03
Carefully read and understand the instructions provided on the form.
04
Fill out the personal information section, including your name, address, contact information, and any other required details.
05
Provide the necessary details about the continuation you are seeking, such as the program, course, or project you wish to continue.
06
Fill out any additional sections or supporting documents that are requested, such as academic transcripts, recommendation letters, or financial information.
07
Review the completed form for accuracy and ensure you have included all required information.
08
Sign and date the application form.
09
Submit the completed hi-22 application form by the designated deadline, either in-person or through the specified submission method.
10
Keep a copy of the application form for your records.
11
Wait for a response from the relevant department regarding the status of your application for continuation.

Who needs hi-22 application for continuation?

01
The hi-22 application for continuation is typically required by individuals who wish to extend or continue their involvement in a specific program, course, or project. This may include students seeking to continue their education, researchers requesting an extension for their ongoing research project, or professionals pursuing further training or certification in their field. It is important to consult the specific guidelines and requirements provided by the relevant department or institution to determine if the hi-22 application for continuation is applicable to your situation.
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The hi-22 application for continuation is a form used to request an extension of time to submit additional information or documentation.
Any individual or entity who needs more time to complete and submit required documentation can file the hi-22 application for continuation.
To fill out the hi-22 application for continuation, provide your contact information, the reason for the extension request, and any supporting documents. Then submit the form to the appropriate department.
The purpose of the hi-22 application for continuation is to give individuals or entities more time to gather and submit necessary information or documentation.
The hi-22 application for continuation requires the applicant to provide their name, contact information, reason for the extension request, and any supporting documents.
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