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HEALTH INSURANCE SUBSIDY PROGRAM FOR LAW ENFORCEMENT OFFICERS & FIREFIGHTERSEmployee Election Application NAME Male Female SSN (Please Print Clearly)ADDRESS DATE OF BIRTH / / CITY STATE ZIP CODE EMPLOYER
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To fill out the please print clearly address, follow these steps:
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Use a black or blue pen to ensure legibility.
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Start by writing the recipient's name at the top line.
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Below the name, write the complete address (including street number, street name, city, state, and postal code).
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Leave a space between each section of the address.
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Please print clearly address refers to the requirement for individuals to write their address legibly on forms and documents to ensure clarity and accuracy in processing.
Individuals or entities submitting forms and documents that require a clear address, often including tax returns, applications, and official correspondence, are required to file using a clearly printed address.
To fill out please print clearly address, write your address in a legible handwritten or typed format, ensuring that all components such as street number, street name, city, state, and ZIP code are included correctly.
The purpose of please print clearly address is to prevent misdelivery of mail and ensure that correspondences and documents reach the intended recipient without delay or confusion.
The information that must be reported includes the full name of the recipient, street address, city, state, and ZIP code to ensure the address is complete and accurate.
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