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TRAINING ROOM FAX: (209) 946-2190 UNIVERSITY OF THE PACIFIC ATHLETE INSURANCE INFORMATION Athlete s Name: Sport Date Student ID#: DOB: / / Class Level: FR SO JR SR 5th Athlete s Cell Phone #: E-mail
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Individuals who are applying for insurance coverage or making updates to their existing insurance policies may need to complete this form.
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The insurance information form-doc is a document that gathers important details related to an individual's insurance coverage.
The insurance infomation form-doc must be filed by individuals who have active insurance policies.
To fill out the insurance infomation form-doc, individuals need to provide information such as the name of the insurance provider, policy number, coverage limits, and premium amounts.
The purpose of the insurance infomation form-doc is to collect and maintain accurate records of an individual's insurance coverage.
Information that must be reported on the insurance infomation form-doc includes the name of the insurance provider, policy number, coverage limits, premium amounts, and any changes in coverage.
The deadline to file the insurance infomation form-doc in 2023 is June 30th, 2023.
The penalty for the late filing of the insurance infomation form-doc is a fine of $100 per day after the deadline.
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