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efta-efta00548542DOJ Data Set 9Other

From: Una Pascal <I

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Unknown
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DOJ Data Set 9
Reference
efta-efta00548542
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
From: Una Pascal <I To: Subject: Re: [Scan] Health insurance Date: Mon, 01 Oct 2018 20:17:10 +0000 Hi Karyna, Here are the information that you need to fill in as follows: Page 1 Date of Hire: 8/20/18 Salary: 70,000.00 Reason for Application: New Hire Employee Type: Active Page 4 Life Insurance $50,000.00 Please indicate a relative for Primary at 100% or you can split it between Primary and Secondary at whatever percentages. If you need anymore information, Please let me know. Thanks, Una On Mon, Oct I, 2018 at 2:23 PM Karyna Shuliak < > wrote: Hi Una, Please see attached the former for my health insurance. Can you or Daphne please provide the missing answers for the first section? Thank you! Karyna Sent with Genius Scan for iOS. EFTA00548542

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