Note the PLA Submission Completion Checklist included in this form must be completed and signed. Failure to do so may result in the PLA Submission being deemed incomplete.
This document is hosted externally.
Unless the owner has removed it from the web, you can access the full document via its original URL:
https://www.ab.bluecross.ca/dbl/pdfs/PLA_submission_form.pdfUnless the owner has removed it from the web, you can access the full document via its original URL:
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