Common use of Additional Contacts Clause in Contracts

Additional Contacts. In addition to the Primary and Alternate Representatives, permission is granted to contact and share information with the following individuals should the need arise (optional): Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*: Verbal Communication Online Account Access Request Benefit Recertification Documents Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*: Verbal Communication Online Account Access Request Benefit Recertification Documents Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*: Verbal Communication Online Account Access Request Benefit Recertification Documents Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*: Verbal Communication Online Account Access Request Benefit Recertification Documents

Additional Contacts. In addition to the Primary and Alternate Representatives, permission is granted to contact and share information with the following individuals should the need arise (optional): Name: Please indicate level of Organization: access granted: Verbal Communication Online Account Access Request Benefit Recertification Documents Work Phone: ciary*: Name: Organization: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*Benefi Please indicate level of access granted: Verbal Communication Online Account Access Request Benefit Recertification Documents Work Phone: ciary*: Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*Benefi Please indicate level of access granted: Verbal Communication Online Account Access Request Benefit Recertification Documents Work Phone: ciary*: Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*Benefi Please indicate level of access granted: Verbal Communication Online Account Access Request Benefit Recertification Documents Work Phone: ciary*: Name: Please indicate level of Organization: access granted: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Email: Relationship to Beneficiary*: Verbal Communication Online Account Access Request Benefit Recertification DocumentsBenefi