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Get and Sign Cms 40b 2019-2022 Form

Get and Sign Cms 40b 2019-2022 Form

Use a medicare application form 2019 template to make your document workflow more streamlined.

Security at 1-800-772-1213. TTY users should call 1-800-325-0778. NOTE: If you do not have Part A, do not complete this form. Contact Social Security if you want to apply for Medicare for the first time. WHEN DO YOU USE THIS APPLICATION? Use this form: • If you’re in your Initial Enrollment Period (IEP) and live in Puerto Rico. You must sign up for Part B using this form. HOW DO YOU GET HELP WITH THIS APPLICATION? • Phone: Call Social Security at 1-800-772-1213. TTY users should call...
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