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Get World Bank F200021 2019-2025

E and sign the form in ink. 3. Submit with a copy of the Medicare ID card for the Retiree or the Spouse/Domestic Partner (including those in receipt of survivor spouse pensions). 4. Return this form to HR Operations. (Please select one transmittal format, and submit only once): a. Fax +1 (202) 522-7026 b. E-mail at hroperations worldbank.org c. Mail to: HR Operations, World Bank MSN G2-202, P.O.Box:1420, Landover MD 20785, USA Note: This form will not be accepted without a copy of the Medicare I.

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