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APPLICATION FOR RETIREMENT (Please type or print) 1. MEMBER INFORMATION Name (Last, First, MI)Social Security NumberEmployee ID NumberAddress, City, State, Ineffective Date of RetirementPhone NumberMarital
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What is c h i c?
C H I C stands for Consolidated Health Informatics Company.
Who is required to file c h i c?
Healthcare providers and entities involved in providing health information are required to file c h i c.
How to fill out c h i c?
C H I C can be filled out electronically through the designated website for health information reporting.
What is the purpose of c h i c?
The purpose of c h i c is to gather and consolidate health information for analysis and research.
What information must be reported on c h i c?
Healthcare data such as patient demographics, medical history, and treatment information must be reported on c h i c.
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