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2371. Form IB07 Wellness Discount Certification Form - Alabama

  INSTRUCTIONS: ALABAMA STATE EMPLOYEES' HEALTH INSURANCE PLAN WELLNESS DISCOUNT CERTIFICATION FORM (Form IB07)     Alabama state employees use form IB07 to obtain a wellness discount certification after participating in a ...

2372. Form IB13 Provider Screening Form - Alabama

  INSTRUCTIONS: ALABAMA STATE EMPLOYEES' HEALTH INSURANCE PLAN PROVIDER SCREENING PLAN (Form IB13)     Alabama state employees who cannot or choose not to participate in the state employees' insurance board Worksite We ...

2373. Form 1B06 Annual Tobacco User Premium Discount Application - Alabama

  INSTRUCTIONS: ALABAMA STATE EMPLOYEES' HEALTH INSURANCE PLAN ANNUAL TOBACCO USER PREMIUM DISCOUNT APPLICATION (Form IB06)     Alabama state employees apply for a tobacco user premium discount application using a form IB0 ...

2375. Form 1B02 Health Insurance Enrollment Form - Alabama

  INSTRUCTIONS: ALABAMA HEALTH INSURANCE ENROLLMENT FORM (Form IB02)     Alabama state employees can enroll in state-administered health insurance using form IB02. This document can be obtained from the website maintained by t ...

2377. Board of Licensure for Professional Engineers and Land Surveyors Complaint Form - Alabama

  INSTRUCTIONS: ALABAMA BOARD OF LICENSURE FOR PROFESSIONAL ENGINEERS AND LAND SURVEYORS COMPLAINT FORM      To file a complaint against an Alabama professional engineer, land surveyor, or engineering or land surveying fi ...

2380. Application For Farmland Protection Program Conservation Easement - Alabama

    INSTRUCTIONS: ALABAMA APPLICATION FOR FARMLAND PROTECTION PROGRAM CONSERVATION EASEMENT      Alabama agriculture and industries may use the form discussed in this article to apply for farmland protection and ...

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