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PATIENT REGISTRATION 2018Patient First Name Last Name SEX:Date of Birth Home Address City St Zip Social Security # (required) I am the: Subscriber Married Single Dependent F/T Student Married to Subscriber
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To fill out a home address city st, follow these steps:
02
Start by writing your complete street address, including the house/apartment number and the street name.
03
Next, write the name of your city or town.
04
After the city, write the two-letter abbreviation for your state. For example, if you live in California, write 'CA'.
05
If you're addressing a letter, make sure to include the ZIP code at the end of the address. The ZIP code is a numeric code that helps postal services identify the specific area.
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Double-check your address for accuracy before submitting or using it for any official purposes.

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Anyone who needs to provide a complete and accurate mailing address or needs to fill out an official form requiring a home address city st.
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Home address city st refers to the city and state portion of an individual's home address, typically used in official documents and forms.
Typically, individuals who are required to file tax returns, legal documents, or official forms that require personal address information must provide their home address city and state.
To fill out home address city st, write the name of your city followed by a comma and then your state abbreviation. For example, 'Los Angeles, CA'.
The purpose of providing the home address city st is to identify the residence of an individual for legal, tax, and administrative purposes.
The information required includes the name of the city and the state abbreviation where the individual resides.
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