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OCEAN H&W14 Form 27819K Form A 8/12/13 10:44 AM Page 1 2014 OCEAN HEALTH & WELFARE BENEFITS ENROLLMENT FORM A MUST BE COMPLETED AND RETURNED TO OCEAN WITHIN 30 DAYS OF HIRE DATE, OR DURING OPEN ENROLLMENT.
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Start by gathering all necessary information such as personal details, contact information, and any relevant medical history.
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Begin by filling out your personal details, including your full name, date of birth, address, and contact information.
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Move on to the section asking about your current health status. Answer honestly and provide any relevant details or medical conditions.
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If applicable, fill out the section regarding your emergency contact information. Include the name, relationship, phone number, and address of your emergency contact.
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