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Tel 800.362.0700 fax 610.965.6962 www.penntreaty.com REQUEST FOR DUPLICATE POLICY Encloseacheckormoneyorderfor$25.00. PART1:PolicyInformation PolicyNumber: PolicyholderName: DateofBirth: LastFourDigitsofPolicyholdersSocialSecurityNumber:
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How to fill out request for duplicate policy

Point by point guide on how to fill out a request for a duplicate policy:
01
Start by obtaining the necessary forms: Contact your insurance provider or visit their website to obtain the specific form required for requesting a duplicate policy. It may be available for download or you may need to request it by mail.
02
Fill out your personal information: Begin by providing your full name, address, and contact details. Include any relevant policy numbers or identification numbers, if applicable.
03
Indicate the reason for the duplicate policy: Clearly state the reason for requesting a duplicate policy. This could be due to loss or damage of the original policy document, or if you require an additional copy for any other purpose.
04
Specify the policy details: Provide all the necessary details related to the policy for which you need a duplicate. This may include the type of policy, coverage details, effective date, and any other relevant information. If you have any supporting documents or reference numbers, be sure to include them as well.
05
Sign and date the form: Once you have filled out all the required information, carefully review the form to ensure accuracy. Sign and date the document as required.
06
Submit the request: Follow the instructions provided by your insurance provider to submit the request for the duplicate policy. This may involve mailing the form, submitting it online, or visiting their office in person.
Who needs a request for a duplicate policy?
01
Individuals who have lost their original policy document: If you have misplaced or lost your original policy document, you will need to request a duplicate in order to have a physical copy for reference or to provide proof of insurance if required.
02
Individuals whose original policy documents have been damaged: If your original policy document has been damaged or rendered unreadable, it is essential to request a duplicate policy to ensure you have a valid and usable document.
03
Individuals who require additional copies of the policy: Sometimes, you may need multiple copies of your policy document for various purposes. Whether it is for personal record-keeping, sharing with other parties, or any other reason, you can request a duplicate policy to fulfill these needs.
Remember to always consult with your specific insurance provider for their guidelines and requirements when filling out a request for a duplicate policy.
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What is request for duplicate policy?
Request for duplicate policy is a formal request made by an individual or organization to receive a duplicate copy of an existing insurance policy.
Who is required to file request for duplicate policy?
The policyholder or authorized representative is required to file a request for duplicate policy.
How to fill out request for duplicate policy?
To fill out a request for duplicate policy, the individual must provide their policy details, reason for the request, and sign the necessary paperwork.
What is the purpose of request for duplicate policy?
The purpose of a request for duplicate policy is to obtain a replacement copy of an existing insurance policy for various reasons such as loss, damage, or change of address.
What information must be reported on request for duplicate policy?
The request for duplicate policy must include the policy number, insured person's name, current address, reason for the request, and signature of the policyholder or authorized representative.
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