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REQUEST FOR INSURANCE (SERVICEMEMBERS GROUP LIFE INSURANCE) IMPORTANT- This form is for use by ACTIVE DUTY and RESERVE MEMBERS. Please read instructions on reverse before completing this form. NOTE:
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This form is important for compliance purposes.
All individuals or entities specified in the regulations are required to file this form.
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The purpose of this form is to report relevant information to the appropriate authorities.
The form requires the reporting of specific details as outlined in the instructions.
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