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Flexible Spending Account Enrollment Form Employer Name: ___ Participant Name (First, MI, Last): ___ Social Security Number: ___ ___ ___ Phone Number (___) ___ Address: ___ City, ST, ZIP: ___ Date
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How to fill out date of birth

01
Go to the form where date of birth is required
02
Enter the day, month, and year of your birth in the designated fields
03
Double check the accuracy of the information before submitting

Who needs date of birth?

01
Medical professionals for health records
02
Government agencies for identification purposes
03
Employers for age verification
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Date of birth is the specific day, month, and year on which a person was born.
Individuals are required to provide their date of birth on various documents and forms.
Date of birth is typically filled out by entering the day, month, and year in the designated spaces.
The purpose of date of birth is to accurately identify and age individuals for legal, medical, and administrative purposes.
The required information on a date of birth includes the day, month, and year of a person's birth.
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