Yukon Health Care Insurance Plan notification of return from extended absence form

Name: Notification of return from extended absence form
Category: 
Health and wellness
Last updated: August 11, 2020
Size: 37.88 KB
File Type: PDF
Number of pages: 
1
Document description: 

Fill out this form once you have returned from an extended absence from Yukon for 6 months or more. Drop off this form at insured health services.

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