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VERMONT CORPORATION EMPLOYEE CONFIDENTIAL VOLUNTARY LIFE SELECTION Effective Date: EMPLOYEE INFORMATION FIRST NAME MI M/F LAST NAME DOB Used Tobacco SS# (last 12 mo) ? Yes ? No ? Yes ? No SPOUSE INFORMATION
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metromont-vollife-selection formpdf - form is a document used for selecting options related to life insurance coverage offered by Metromont.
Employees who are eligible for life insurance coverage through Metromont are required to file the metromont-vollife-selection formpdf - form.
To fill out the form, employees must carefully read the instructions provided, enter their personal information, select the desired coverage options, and sign the form.
The purpose of the form is to provide employees with the opportunity to choose their life insurance coverage options based on their individual needs.
Employees must report their personal information, such as name, address, and contact details, as well as their chosen life insurance coverage options.
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