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Name and Address Policy Number: Client Reference: LOST CERTIFICATE DECLARATION Reason for an LCD Request Instructions to complete this form If your Certificate of Insurance has been lost or destroyed,
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What is lost certificate declaration?
Lost certificate declaration is a formal statement or document that is filed to report the loss or theft of a certificate.
Who is required to file lost certificate declaration?
The person or entity who has lost or had their certificate stolen is required to file a lost certificate declaration.
How to fill out lost certificate declaration?
To fill out a lost certificate declaration, you need to provide information such as the type of certificate, the date of loss or theft, details about the certificate, and any supporting documents.
What is the purpose of lost certificate declaration?
The purpose of a lost certificate declaration is to officially report the loss or theft of a certificate and take necessary actions to prevent misuse or unauthorized use.
What information must be reported on lost certificate declaration?
The lost certificate declaration must include details such as the type of certificate, certificate number (if available), date of loss or theft, description of the circumstances, and any relevant supporting documents.
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