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Form Instructions
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Login IDazd"©_pmd©OaFd=pm"am^Fa=FmaOaFOp^FpVa4"dVFm
"FmFF=pm^F4phh"m=damF
NamemF¤zp"¢_4^""4FamVm"hamV^F"VFmm©
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TN ImF^FFm"m"aapmm¤h*F"da=FmaF"F1_20FO"¤da
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COR mF^Fd"pOFa4apmOp^F"VFm"da=FmaF"F0_95
FO"¤da1
Coverage PathmF^Fm¤h*FpO^Fp¦F"VF"^¤F=*©4"dd
p^FpVam"da=FmaF"F"z"^m¤h*F*F§FFm1_999:ahFpO="©
"*dFt1_t999p*d"mc|=FO"¤d}^aa¤F=§^Fm^F"VFmadpVVF=p¤:
*¤©:p=pFmp"m§F
Security CodemF^FT_=aVaF4¤a©4p=F|z"§p=}Op^F
Fh"m=amhF"VFOF"¤F^aOaFd=h"©*F*d"mc|=FO"¤d}
Direct Agent SkillImF^Fm¤h*FpO^Fcadd^"a¤F=p^"m=dF
aF4VFm4"dd"da=FmaF"F1_99:p*d"mc|=FO"¤d}
Call Handling PreferenceI^pa4F"Fskill-level|=FO"¤d}:
greatest-need:"m=percent-allocation^Fm4"dd"Fam¤F¤F"m="m
"VFm*F4phF"¦"ad"*dF:cadd_dF¦Fd=Fda¦F^Fpd=F:^aV^Fzapa©
4"dd§"aamVOp^F"VFm^aV^FdF¦FdcaddF"F_mFF==Fda¦F^F
pd=F:^aV^Fzapa©4"dd§"aamVOp"m©pO^F"VFmcaddF4Fm
"ddp4"apm=Fda¦F"4"ddOph^Fcadd^"§addp^F§aF=F¦a"Fhp
Opha"=hamaFF="ddp4"apmF4Fm_"ddp4"apma"¦"ad"*dFpmd©§a^
¤4FmFmF¤ =¦p4"FpO§"FphpFamOph"apm:zdF"FFF
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Service ObjectiveI^aOaFd=a=azd"©F=pmd©§^Fm^F4"dd^"m=damV
zFOFFm4Fagreatest-needpskill-level p¤h"©FmFypnam^a
OaFd=^FmF¦a4F*bF4a¦FaFm"*dF=:F"4^ahF^F"VFm*F4phF
"¦"ad"*dF^F"VFmF4Fa¦F"4"ddOph^F"aVmF=cadd^"a^F
O¤^Fp¦Fa"44Fz"*dFF¦a4FdF¦FdOmpmFpO^F"VFmcadd
F¨4FF=^Fa"44Fz"*dFF¦a4FdF¦Fd:F¦a4F*bF4a¦FFdF4^Fcadd
^"a4dpFpF¨4FF=amVa"44Fz"*dFF¦a4FdF¦FdF¦a4F*bF4a¦F
a"mF§OF"¤F^" az"pO¤4Fm FmF¤ =¦p4"FpO§"Fp
hpFamOph"apm:zdF"FFF^FFmF¤ =¦p4"FF¤a=F
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