Form C-71 Application for Termination of Coverage - Texas

Form C-71 Application for Termination of Coverage - Texas

What Is Form C-71?

This is a legal form that was released by the Texas Workforce Commission - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-71?
A: Form C-71 is an Application for Termination of Coverage in the state of Texas.

Q: What is the purpose of Form C-71?
A: The purpose of Form C-71 is to terminate coverage in Texas.

Q: Who should use Form C-71?
A: Form C-71 should be used by individuals who want to terminate their coverage in Texas.

Q: What information is required on Form C-71?
A: Form C-71 requires information such as your personal details, policy information, and reason for terminating coverage.

Q: Are there any fees for submitting Form C-71?
A: No, there are no fees for submitting Form C-71.

Q: What should I do after submitting Form C-71?
A: After submitting Form C-71, you should confirm with your insurance provider that your coverage has been terminated.

Q: Is there a deadline for submitting Form C-71?
A: There is no specific deadline for submitting Form C-71, but it is recommended to submit it as soon as possible after deciding to terminate your coverage.

Q: Can I appeal a decision made based on my Form C-71?
A: Yes, you have the right to appeal a decision made based on your Form C-71 if you disagree with the outcome.

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Form Details:

  • Released on May 20, 2013;
  • The latest edition provided by the Texas Workforce Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form C-71 by clicking the link below or browse more documents and templates provided by the Texas Workforce Commission.

Download Form C-71 Application for Termination of Coverage - Texas

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