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Protective Life Insurance Company Life and Health Insurance Administration P.O. Box 12687 Birmingham, AL 352026687 Policy Number: Insureds Name: Owners Name: FORFEITURE OPTIONS I (we) hereby request
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It is a form used to report changes to specific services provided.
Service providers who have made changes to their services.
The form should be filled out with detail information about the changes made to the service.
The purpose is to ensure transparency and accountability in service provision.
Details of the changes made, reasons for the changes, and impact on service recipients.
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