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Submit Form FOR AGENT USE ONLY Please print legibly Agency Code LCC Agent Number Jenny Hedtke Agent Name Personal Blue or Options Blue SM Individual Health Contract Application A Reason for Application I am a new applicant not currently a Blue Cross and Blue Shield of Minnesota Blue Cross member I have a Personal Blue or Options Blue contract and I am applying for a lower deductible adding a dependent I have other Blue Cross coverage and I am ap...
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What is jenny hedtke agent form?
Jenny Hedtke agent form is a document used to appoint an individual or entity as the agent for receiving legal documents on behalf of a company or organization.
Who is required to file jenny hedtke agent form?
Companies or organizations that want to designate a specific agent for service of process are required to file Jenny Hedtke agent form.
How to fill out jenny hedtke agent form?
To fill out Jenny Hedtke agent form, you will need to provide information about the company or organization, the appointed agent, and the contact details.
What is the purpose of jenny hedtke agent form?
The purpose of Jenny Hedtke agent form is to ensure that legal documents and notices are properly delivered to the designated agent on behalf of the company or organization.
What information must be reported on jenny hedtke agent form?
The information reported on Jenny Hedtke agent form typically includes the name and address of the company or organization, the name and contact information of the appointed agent, and any other relevant details.
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