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Dependent certification form 2025

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The document is a Dependent Eligibility Certification Form used to verify the eligibility of dependents for insurance coverage. It includes sections for general information, student certification, adult dependent certification, and disability certification. The form requires details about the dependent's education status, marital status, tax dependency, and any disabilities. It concludes with a certification statement by the member and instructions for submission to The Guardian Life Insurance Company.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (44 Votes)
2004	4 Satisfied (21 Votes)

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What is a dependent care verification form?

This form is to be completed by your provider after dependent care expenses have been incurred and should be used in place of dependent care documentation. Attach this form to an online or debit card claim via your online account or to a Claim Form.

What is a dependent verification worksheet?

The Verification Worksheet - Dependent form is a form that is requested of a dependent student selected for FAFSA Verification. The form requires information from both parents and students to verify some of the information provided on the students Free Application for Federal Student Aid (FAFSA).

What is dependent verification?

Dependent Eligibility Verification (DEV) is the process of re-verifying the eligibility of your spouse, domestic partner, children, stepchildren, and domestic partner children (dependents) enrolled in health and/or dental benefits.

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