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Extended Health & Dental Benefits: Dependent Enrollment Form. Green shield.ca 18887111119healthanddental selkirkstudents.ca H&D Services Organizer: 2503651303DUE DATE This form must be received by
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To fill out the familycouple enrolment form extended, please follow these steps:
02
Start by entering the date of application in the designated field.
03
Provide your personal details, including full name, address, contact information, and date of birth.
04
Indicate whether you are a family or a couple applying for enrolment.
05
If you are a family, list the names and details of each family member, including their relationship to the primary applicant.
06
If you are a couple, enter the details of both individuals.
07
Specify your marital status and provide supporting documents if required.
08
Fill out the section regarding your income, employment status, and financial information.
09
If applicable, provide information about any children or dependents and their details.
10
Complete the declaration section, ensuring all information provided is accurate and true.
11
Sign and date the form before submitting it for processing.
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Please note that additional documentation may be required depending on your specific circumstances. Make sure to read the instructions provided along with the form.

Who needs familycouple enrolment form extended?

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The familycouple enrolment form extended is required by individuals who are applying for enrolment as a family or as a couple. This form typically needs to be filled out when registering for various government programs or seeking family benefits and services. It is important for those who want to ensure their family or couple status is recognized and to avail the applicable benefits that may be provided to families or couples.
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The familycouple enrolment form extended is an extended version of the enrolment form that allows couples to enrol together as a family unit.
Couples who wish to enrol together as a family unit are required to file the familycouple enrolment form extended.
To fill out the familycouple enrolment form extended, couples must provide information about both individuals, including their personal details, relationship status, and any dependents.
The purpose of the familycouple enrolment form extended is to streamline the enrolment process for couples who wish to enrol together as a family unit.
The familycouple enrolment form extended must include personal details for both individuals, information about their relationship status, and details of any dependents.
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