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Partnership Member Requested Disenrollment or Transfer and Instructions

Assigned number Title Release date File type Language Available to order
F-00534 Partnership Member Requested Disenrollment or Transfer and Instructions (DocuSign) 02/22/2024 HTML English No
F-00534 Partnership Member Requested Disenrollment or Transfer and Instructions 02/22/2024 Word English No
F-00534LP Partnership Member Requested Disenrollment or Transfer and Instructions (Large Print) 02/22/2024 Word English No
F-00534AR Partnership Member Requested Disenrollment or Transfer and Instructions, Arabic 02/22/2024 PDF Arabic No
F-00534CM Partnership Member Requested Disenrollment or Transfer and Instructions, Chinese (Simplified) 02/22/2024 Word Chinese (Simplified) No
F-00534H Partnership Member Requested Disenrollment or Transfer and Instructions, Hmong 02/22/2024 Word Hmong No
F-00534L Partnership Member Requested Disenrollment or Transfer and Instructions, Laotian 02/22/2024 Word Laotian No
F-00534R Partnership Member Requested Disenrollment or Transfer and Instructions, Russian 02/22/2024 Word Russian No
F-00534SE Partnership Member Requested Disenrollment or Transfer and Instructions, Serbo-Croatian 02/22/2024 Word Serbian (Serbo-Croatian) No
F-00534SO Partnership Member Requested Disenrollment or Transfer and Instructions, Somali 02/22/2024 Word Somali No
F-00534S Partnership Member Requested Disenrollment or Transfer and Instructions, Spanish 02/22/2024 Word Spanish No

Glossary

 
Last revised October 14, 2025