Bank form 892 2025

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47 votes

The document is a claim form for hospital and medical expenses intended for staff members or their dependents associated with the World Bank Group. It requires personal information about the patient, details regarding the illness or injury, and authorization for the release of medical information for claim processing. Additionally, it includes a section to be completed by the attending physician.

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2005	4.9 Satisfied (47 Votes)

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