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Clear Form Clear Kit STATEMENT OF HEALTH AND INSURABILITY (To be completed by Proposed Insured or Additional Insured) Completed as a condition to the delivery or change of: Name of Proposed Insured
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Start by entering the current date in the "Date" field on the form. This is the date when you are filling out the form.
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Next, locate the "Since" field on the form. This field requires you to enter a specific date. Fill in this field with the date from which the information or event you are referring to has been ongoing or occurred.
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The since form date of is the date from which the form is applicable.
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