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Underwritten by: UNM Life Insurance Company of America LTC Department 2211 Congress Street, Portland, Maine 04122 LOS ANGELES FIREMEN IS RELIEF ASSOCIATION Member/Spouse/ Registered Domestic Partner
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The completion of this form is important for compliance purposes and to provide necessary information.
All individuals or entities specified by the governing authority are required to file this form.
The form should be filled out completely and accurately, following the instructions provided by the governing authority.
The purpose of this form is to collect specific information required by the governing authority for regulatory or compliance purposes.
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The deadline for filing this form in 2024 is typically [specific deadline date]
The penalty for late filing may include fines, interest charges, or other consequences as determined by the governing authority.
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