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POLICY APPLICATION (please print or type) which upon acceptance and approval by NATIONWIDE LIFE INSURANCE COMPANY Columbus, Ohio 43216 will become a part of SPECIFIED HAZARD INSURANCE POLICY NUMBER
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How to fill out policy application please print

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How to Fill out Policy Application Please Print:

01
Start by gathering all the necessary documents and information that will be required for filling out the policy application. This may include personal identification, contact details, and any relevant financial or medical information.
02
Make sure to read and understand all the instructions and questions on the policy application form before you begin filling it out. Take your time to ensure that you provide accurate and complete information.
03
Use a pen with dark ink or a typewriter if possible. Writing in legible print will make it easier for the insurance company to read and process your application. Avoid using pencil or any erasable ink.
04
Begin by entering your personal information such as your full name, date of birth, social security number, and current address. Double-check that all information is accurate.
05
Fill out the sections related to your contact details, including your phone numbers and email address. This information will be crucial for the insurance company to communicate with you regarding your application.
06
Move on to the sections that require information about your current employment status and income. Provide accurate details about your occupation, employer, salary, and any other sources of income.
07
If the policy application form requires you to provide information about your medical history, be sure to disclose all relevant information honestly and accurately. Failure to disclose any medical conditions or treatments could result in the denial of coverage.
08
Review the completed application form carefully to ensure that you have answered all the questions accurately. Make sure there are no spelling mistakes or missing information.
09
Once you are satisfied with the accuracy of the information provided, sign and date the application form at the designated areas. This indicates that you certify the accuracy of the information provided.
10
Make a copy of the completed application for your records before submitting it to the insurance company. If submitting online, consider saving a digital copy for future reference.

Who Needs Policy Application Please Print:

01
Individuals who are applying for any type of insurance policy, such as life insurance, health insurance, auto insurance, or homeowner's insurance, may need to fill out a policy application by printing it.
02
Employers or human resources departments that require employees to apply for certain insurance policies, such as group life or health insurance, may also need to provide policy application forms to employees to fill out and print.
03
Insurance agents or brokers who assist clients in applying for insurance policies may require their clients to print and fill out policy application forms as part of the application process.
In general, anyone who needs to apply for insurance coverage and the respective insurance company or organization requires a printed policy application to be filled out.
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A policy application is a form or document that is used to apply for an insurance policy. It contains the necessary information about the applicant and the requested coverage.
Anyone who wishes to obtain an insurance policy is required to file a policy application. This includes individuals, businesses, and organizations.
To fill out a policy application, you need to provide accurate and complete information about yourself or your business, including your personal details, contact information, assets or properties to be insured, and any relevant supporting documents. It is important to carefully read and understand the questions before providing your answers.
The purpose of a policy application is to gather all the necessary information about the applicant and the desired insurance coverage. It allows the insurance company to evaluate the risks involved and determine the terms and conditions of the policy.
The information that must be reported on a policy application varies depending on the type of insurance. However, common information requested includes personal or business details, property or asset information, claims history, and any additional coverage requirements.
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