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FOR LIB USE ONLY Form LG09 Revised 10/15 LOCAL GOVERNMENT HEALTH INSURANCE PROGRAM 2016 CANCELLATION FORM SOUTHLAND NATIONAL VOLUNTARY INSURANCE OPEN ENROLLMENT Date: Initials: SUBSCRIBER INFORMATION

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What is for lghib use only?

For lghib use only refers to information or documents that are restricted or intended solely for the recipient's use and should not be shared with others.

Who is required to file for lghib use only?

Any individual or organization who receives information marked for lghib use only is required to abide by the restrictions and not disclose the information to others without authorization.

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The purpose of marking information for lghib use only is to protect sensitive or confidential information from unauthorized access or distribution.

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Any sensitive or confidential information that is not meant to be shared with others should be marked for lghib use only to indicate the restricted nature of the information.

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