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CIA THE Collector Car Insurance Application COSSIM Insurance Agency 8646880121 Fax: 8646880138 PO Box 188 Simpsonville SC 29681 DIRECTIONS: Section 1: Insured Information How did you hear about us?
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How to fill out section 1 insured information

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How to fill out section 1 insured information:

01
Begin by providing the insured person's full name, including their first name, middle name (if applicable), and last name.
02
Next, enter the insured person's date of birth, including the day, month, and year.
03
Provide the insured person's gender, indicating whether they are male or female.
04
Enter the insured person's contact information, including their primary phone number and email address.
05
If applicable, fill in the insured person's secondary phone number and alternative email address.
06
Provide the insured person's mailing address, including the street address, city, state/province, and ZIP/postal code.
07
Indicate whether the insured person is the policyholder or if they are a dependent covered under the policy.
08
If the insured person is a dependent, provide the policyholder's name and relationship to the insured person.

Who needs section 1 insured information:

01
Individuals who are applying for or renewing an insurance policy are required to fill out section 1 insured information.
02
Policyholders who are adding or updating information about themselves or their dependents will also need to complete this section.
03
Insurance agents or representatives who are assisting clients in filling out the insurance application will need the insured information to accurately process the policy.
Remember, accurately filling out section 1 insured information ensures that the insurance policy is correctly issued and any claims or communication regarding the policy reaches the intended recipient.
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Section 1 insured information refers to the details of the individual or entity that is covered by insurance under section 1 of a contract or policy.
The individual or entity responsible for the insurance policy or contract is required to file section 1 insured information.
Section 1 insured information can be filled out by providing the necessary details of the insured individual or entity, including their name, address, contact information, and any relevant insurance policy numbers.
The purpose of section 1 insured information is to ensure that accurate and up-to-date details of the insured party are recorded for insurance purposes.
The information that must be reported on section 1 insured information includes the insured party's name, address, contact information, and insurance policy details.
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