Get the free NON-SMOKER DECLARATION FORM - Hollard

NONSMOKER DECLARATION FORM (To be completed by the life insured) Policy details Policy no. ID no. Name of insured Declaration by life insured I declare that I have not smoked or used tobacco products

How to fill out non-smoker declaration form

How to fill out a non-smoker declaration form:

1. Obtain the form: The non-smoker declaration form can usually be obtained from your insurer or employer. You may need to request it online, through the mail, or pick it up in person from a designated office.
2. Read the instructions: Before filling out the form, carefully read the accompanying instructions. These instructions will guide you through the process and provide any specific information or requirements.
3. Provide personal details: Begin by filling out your personal details, including your full name, date of birth, address, contact information, and any other details requested on the form. Ensure that the information you provide is accurate and up to date.
4. Declare non-smoking status: Indicate your smoking status by checking the appropriate box or providing the required information. This section may ask you to specify if you are a current smoker, former smoker, or non-smoker. If you are a non-smoker, you may be required to provide additional information or attestations.
5. Sign and date: Sign and date the declaration form at the designated space. By signing, you are affirming that the information provided is true and accurate to the best of your knowledge. Ensure that you sign and date the form using your usual signature.
6. Submit the form: After completing and reviewing the form, follow the instructions provided to submit it. This may involve mailing it back to the insurance company or handing it over to your employer. Make sure you keep a copy of the completed form for your records.

Who needs a non-smoker declaration form:

1. Insurance policyholders: Individuals who are applying for or renewing an insurance policy, particularly health or life insurance, may be required to fill out a non-smoker declaration form. This allows the insurer to assess the potential risk associated with smoking and determine appropriate coverage and premiums.
2. Job applicants: Some employers, especially those who promote a healthy work environment or provide insurance benefits, may ask job applicants to fill out a non-smoker declaration form as part of their hiring process. This helps organizations understand the health habits and risks of prospective employees.
3. Current employees: In certain workplaces, employers may periodically request their employees to update their smoking status by filling out a non-smoker declaration form. This information can be used for insurance purposes, wellness programs, or to enforce smoke-free policies within the company premises.

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What is non-smoker declaration form?

Non-smoker declaration form is a document that certifies an individual's status as a non-smoker.

Who is required to file non-smoker declaration form?

Non-smoker declaration form is required to be filed by individuals who do not smoke.

How to fill out non-smoker declaration form?

Non-smoker declaration form can be filled out by providing personal information and signing the declaration stating non-smoker status.

What is the purpose of non-smoker declaration form?

The purpose of non-smoker declaration form is to verify an individual's claim of being a non-smoker for insurance or health-related purposes.

What information must be reported on non-smoker declaration form?

Non-smoker declaration form may require personal information, declaration of non-smoker status, and signature of the individual.