Clicking on the links will take you to information such as claims filing instructions, printable forms, and examples of certain required documentation. Information on the National Medical Support Notice.Medical support is a form of child support often provided through an employer's health insurance plan. If yes, list below the name of the health coverage, policy number, and any premium costs. Does the Applicant have Long Term Care Insurance? Unless otherwise specified, all forms may be faxed to 802-229-7054 or mailed to National Life, 1 National Life Drive, Montpelier, VT 05604. Middlesex directly underwrites business in the National Accounts, Direct Writer,. Regional, and Dairyland Auto business units. Enrollment Form 2023-2024. DEAR PARENTS: Please fill out this form completely.