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COUNTY OF SAN DIEGO 2021 HOURLY/TEMPORARY ENROLLMENT/CHANGE FORM Return completed form to the Employee Benefits Division via email: Benefits. EGG county.ca.gov or Fax 8584679708 or Mail Stop O7 EMPLOYEE
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What is statement of health form?
The statement of health form is a document that gathers information about an individual's medical history and current health status.
Who is required to file statement of health form?
Individuals applying for certain insurance policies or benefits may be required to file a statement of health form.
How to fill out statement of health form?
The statement of health form can be filled out by providing accurate and detailed information about one's medical background and current health condition.
What is the purpose of statement of health form?
The purpose of the statement of health form is to assess an individual's health risk and determine their eligibility for insurance coverage or benefits.
What information must be reported on statement of health form?
Information such as medical history, current medications, existing conditions, and lifestyle habits may need to be reported on the statement of health form.
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