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INSTRUCTIONS FOR THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE SCOREKEEPER (The Record keeper may be the Group Customer, a Third Party Administrator

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The United Church of Christ is a Protestant Christian denomination formed in 1957 through the merger of several different church traditions.

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The purpose of the United Church of Christ is to promote unity, justice, and peace among its members and in the world.

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Information such as income, expenses, membership numbers, and activities must be reported on United Church of Christ forms.

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