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HD07190220State Health Benefits Program (SHIP) School Employees Health Benefits Program (SE HBP)HEALTH BENEFITS ACTIVE EMPLOYEE GROUPEMPLOYEE DENTAL ENROLLMENT AND/OR CHANGE FORM 1. MEMBER INFORMATION
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How to fill out member information last name

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Find the section on the form labeled 'Member Information'
02
Locate the field labeled 'Last Name'
03
Begin typing your last name in the designated text box
04
Make sure to enter your last name exactly as it appears on legal documents
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Double-check for any errors or typos before submitting the form

Who needs member information last name?

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Anyone who is filling out a form or application that requires personal information such as name and contact details would need to fill out the member information last name. This is usually needed for membership registrations, job applications, financial transactions, and various administrative purposes.
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Member information last name refers to the surname of a member of an organization or entity that must be reported for regulatory or compliance purposes.
Organizations, businesses, or entities that are required to disclose member details for taxation, compliance, or reporting purposes must file the member information last name.
To fill out the member information last name, provide the full last name of each member as required in the designated form or documentation, ensuring accuracy and compliance with the regulations.
The purpose of member information last name is to identify and verify the members of an organization for legal, tax, and regulatory purposes.
Typically, the last name of the member, along with any associated identification or reference numbers, and other relevant personal information as required by law or regulation must be reported.
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