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TEL: 8705461003 FIRST NAME:SMACKOVERNORPHLET SCHOOL DISTRICTNORPHLET MIDDLE SCHOOL ENROLLMENT FORM FAX: 8705461060 GENERAL STUDENT INFORMATION MIDDLE NAME: LAST NAME:Birthday: Gender: (Circle) Female
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The nms enrollment form is a form used to enroll in the National Medical Support Notice program.
Employers who are required by a court or administrative agency to provide health care coverage for a child.
The nms enrollment form can be completed online or by filling out a paper form and submitting it to the appropriate entity.
The purpose of the nms enrollment form is to ensure that children receive necessary health care coverage as ordered by a court or administrative agency.
The nms enrollment form typically requires information such as the child's name, date of birth, social security number, and details about the health care coverage being provided.
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