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Page 1 of 72023 Enrollment Request Form o UnitedHealthcare Dual Complete Choice LP (PPO DSP) H3256001000 UD8Information about you (Please type or print in black or blue ink) Last NameFirst Rebirth
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Fill in the relevant information in each cell based on the instructions provided.
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Various departments within the Wisconsin government may need the spreadsheet for data collection, analysis, reporting, or other administrative purposes.
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The spreadsheet for the Wisconsin Department is a tool used to organize and track data related to departmental operations.
All employees of the Wisconsin Department are required to file the departmental spreadsheet.
To fill out the Wisconsin Department spreadsheet, employees must enter accurate and up-to-date information in the designated columns.
The purpose of the Wisconsin Department spreadsheet is to ensure that all departmental information is organized and easily accessible.
Employees must report relevant data such as expenses, revenue, and project status on the Wisconsin Department spreadsheet.
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