MUNICIPAL HEALTH BENEFIT FUND SEMINAR AGENDA 2025

1. Click ‘Get Form’ to open the MUNICIPAL HEALTH BENEFIT FUND SEMINAR AGENDA in the editor.
2. Begin by entering your Member Name and ID# in the designated fields. Ensure that all information is accurate to avoid processing delays.
3. Fill in your contact details, including telephone number and date of birth. This information is crucial for identification purposes.
4. Indicate whether the claim is for yourself, spouse, or dependent by checking the appropriate box.
5. If applicable, provide details about the accident or incident, including date, location, and any involved parties. Be thorough in your description to facilitate claims processing.
6. Complete sections regarding work-related injuries or illnesses if relevant. Remember to file with your worker's comp carrier first.
7. For motor vehicle accidents (MVA), ensure you attach a copy of the police report and fill out all related insurance information accurately.
8. Finally, sign and date the form at the bottom before submitting it back through our platform for processing.

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