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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: PO Box 1039 Appleton, WI 549121039Fax Number: 18556688552You may also ask us for
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How to fill out fax number po box
01
To fill out a fax number PO Box, you need to:
02
Start by writing the recipient's name and the PO Box number on the first line.
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Below that, write the street address or city where the PO Box is located.
04
On the next line, write 'PO Box' followed by the PO Box number.
05
After that, write the city, state, and zip code of the PO Box location.
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Finally, include the fax number on a separate line, preceded by 'Fax:' or 'Fax Number:' for clarity.
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Make sure to format the information correctly and legibly to ensure the successful delivery of your fax.
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- Individuals who prefer to receive faxes through a private and separate PO Box.
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Having a fax number PO Box can provide privacy, security, and convenience in receiving faxed documents.
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What is fax number po box?
Fax number po box is a combination of a fax number and a PO Box address where fax communications can be sent and received.
Who is required to file fax number po box?
Any individual or organization that wishes to receive fax communications at a PO Box address must file a fax number po box.
How to fill out fax number po box?
To fill out a fax number po box, simply provide the fax number that corresponds to the PO Box address where you wish to receive fax communications.
What is the purpose of fax number po box?
The purpose of fax number po box is to provide a secure and convenient method for sending and receiving fax communications to a PO Box address.
What information must be reported on fax number po box?
The information that must be reported on a fax number po box includes the fax number and the PO Box address where fax communications should be sent.
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