Military Medical Insurance Membership Request Form
This file contains the request form for a new Military Medical Insurance (MMI) membership card. It includes necessary personal information and documentation requirements. Completing this form is essential for dependents to secure their health insurance coverage.
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How do I fill this out?
To fill out the MMI Membership Request Form, start by gathering the required personal information and documents. Ensure that all fields are accurately completed to avoid delays in processing. Review your application before submission to ensure all information is correct.

How to fill out the Military Medical Insurance Membership Request Form?
1
Gather all required personal documents and information.
2
Complete all sections of the MMI Membership Request Form.
3
Ensure all dependent information is included if applicable.
4
Review the application for accuracy before submission.
5
Submit the completed form as instructed in the guidelines.
Who needs the Military Medical Insurance Membership Request Form?
1
Individuals seeking health insurance through MMI.
2
Spouses of MMI members requiring coverage.
3
Children of MMI members who need medical insurance.
4
Residents of Kigali, Rwanda applying for MMI benefits.
5
Individuals needing to replace a lost MMI card.
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Select the 'Edit' option to modify any necessary information.
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What are the instructions for submitting this form?
To submit the MMI Membership Request Form, ensure all fields are completed accurately. You can send the form via email to info@mmi.gov.rw or fax it to 1535. Alternatively, submit a physical copy at any MMI office in Kigali, Rwanda.
What are the important dates for this form in 2024 and 2025?
The deadlines for submitting the MMI Membership Request Form are typically at the start of each quarter. Ensure your application is submitted by January 31, April 30, July 31, and October 31 for timely processing.

What is the purpose of this form?
The purpose of the MMI Membership Request Form is to facilitate the application process for new members seeking health coverage through the Military Medical Insurance program. This form allows individuals to provide necessary personal details and information about their dependents. Completing this form is vital for receiving MMI services and ensuring proper insurance coverage for medical needs.

Tell me about this form and its components and fields line-by-line.

- 1. Names of the Dependent: The full names of the individuals covered under the application.
- 2. National ID No.: Identification numbers for persons over 18 years.
- 3. Date of Birth: Birth dates of the member and dependents.
- 4. Residence Information: Details regarding the applicant's residential address.
- 5. Contact Information: Telephone number and email for communication.
What happens if I fail to submit this form?
Failing to submit this form can delay or prevent you from receiving your MMI card and associated health services. It is crucial to follow submission guidelines to ensure continuous coverage. Incomplete submissions may lead to additional paperwork and processing time.
- Delay in Coverage: Not submitting the form on time could result in a lapse in health insurance coverage.
- Increased Paperwork: Incomplete applications may necessitate resubmission and additional documentation.
- Loss of Benefits: Not filling out the form correctly can lead to missed healthcare services.
How do I know when to use this form?

- 1. New Membership: Use this form to apply for a new MMI membership.
- 2. Dependent Enrollment: Fill this out to include dependents in your MMI coverage.
- 3. Replacement Card Request: Use this when you need to replace a lost MMI card.
Frequently Asked Questions
How do I access the MMI Membership Request Form?
You can access the MMI Membership Request Form directly through our website.
What documents do I need to submit with my form?
You will need to submit personal identification and proof of relationship for dependents.
Can I edit the PDF before submitting?
Yes, you can easily edit the PDF using our online editor.
How do I download my completed form?
After editing, simply click on the download button to save your form.
Is there a fee to submit the MMI form?
Please refer to the submission guidelines for any applicable fees.
Can I print the form after filling it out?
Absolutely, you can print the form directly from the PDF editor.
What if I make a mistake on my form?
You can easily edit the form again or start with a fresh copy.
How long will it take to process my MMI application?
Processing times can vary, but you'll receive a confirmation once submitted.
Can I submit the form online?
Yes, you can submit the MMI form online after filling it out.
What should I do if I lose my MMI card?
Fill out the form to request a new card, indicating it was lost.
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