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TO BE COMPLETED BY EMPLOYER DATE OF INEFFECTIVE ALLOCATION #LOCATION NAME1280 North Plum Street Lancaster, PA 17601 Telephone 8774988937MEDICAL ENROLLMENT APPLICATION NAME (LAST, FIRST, MIDDLE INITIAL)DATE
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How to fill out location and effective time

01
To fill out the location, follow these steps:
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Start by specifying the street address, including the building/house number.
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Enter the city or town name.
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If applicable, provide the state or province.
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Include the postal/ZIP code for accurate identification.
06
Optionally, add any additional details such as landmarks or nearby points of interest.
07
08
To fill out the effective time, follow these steps:
09
Determine the start date and time when the information becomes effective.
10
Specify the end date and time when the information expires or is no longer valid.
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If the duration is indefinite, mention 'ongoing' or 'permanent'.
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Optionally, include any notes or specific conditions related to the effective time period.

Who needs location and effective time?

01
Location and effective time are needed by various individuals or entities such as:
02
- Event organizers who need to communicate the venue details to participants.
03
- Businesses that want to provide accurate location information to their customers.
04
- Service providers who need to specify operating hours or temporary closures.
05
- Travelers who require precise address details for navigation or booking purposes.
06
- Government agencies or emergency services for locating incidents or safety measures.
07
- Job applicants who need to fill out their address or availability for employment purposes.
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- Any individual or organization that requires accurate positional or temporal information.
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Location refers to the physical address where a business operates, while effective time indicates the date and time when any changes in business operations or ownership take effect.
Any business entity that undergoes changes in its operational address or ownership structure is required to file location and effective time.
To fill out location and effective time, provide the current business address, new address (if applicable), and specify the effective date and time for the changes on the required form.
The purpose of location and effective time is to officially document changes in a business's operations, ensuring that legal records are up-to-date and accurate for regulatory and public purposes.
The information that must be reported includes the business name, previous and new address, the effective date of the change, and relevant contact information.
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