Student Status Verification Form - Alaska Department of Administration - doa alaska: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Member Information. Fill in your name, Member ID, and phone number accurately.
Next, provide Dependent Information. Enter your child's name, relationship to you, and date of birth.
Indicate the semester your dependent is enrolled in by filling out the start and end dates for both Fall and Spring semesters.
Confirm if your dependent is a Full-Time (FT) student by checking the appropriate box and enter the number of hours enrolled.
Complete the school information section with the name, address, city, state, zip code, and phone number of the educational institution.
Attach valid proof of current student status as specified in the form instructions before submitting.
Finally, sign and date the form to acknowledge its accuracy before returning it to Aetna.

Start using our platform today to easily complete your Student Status Verification Form for free!

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Student Status Verification Form - Alaska Department of Administration - doa alaska 2025

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