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PLANO, TEXAS 75075 2026
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- Click ‘Get Form’ to open the PLANO, TEXAS 75075 invoice in the editor.
- Begin by entering the 'Policy Year' and 'Invoice Date' at the top of the form. These fields are essential for identifying your coverage period.
- Fill in the 'Campus Location' and specify the 'Number of Coverage Day(s) Required' along with the 'Number of Participants'. This information helps in calculating your total cost.
- Input the 'Coverage Dates' by selecting start and end dates from the calendar tool available in our editor.
- Complete the 'Department Contact Name', 'Sponsoring Department', and 'Campus Address' sections to ensure proper identification of your event.
- Provide details about your event including 'Destination', 'City / State / Zip', and select a preferred 'Method of Transportation'.
- List participant details under 'Enrollment Details', including last name, first name, UT ID number, and date of birth for each individual.
- Review all entries for accuracy before saving or exporting your completed form. Finally, email it to SSPECIALEVENTS@UHCSR.COM as instructed.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4.4 Satisfied (52 Votes) |
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Related links
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