Get the free Lost Policy Declaration form - Cigna New Zealand

Lost policy declaration Please complete and return to Cagney Life Insurance, Free post 11 8004, PO Box 24031, Wellington 6142. We recommend you keep a copy of this form for your records. 1 Declaration

How to fill out lost policy declaration form

How to fill out a lost policy declaration form:

1. Start by providing your personal information, such as your name, address, and contact details. This will help the insurance company identify you as the policyholder.
2. Specify the type of insurance policy that has been lost. Whether it is a life insurance policy, health insurance policy, or any other type of policy, this information is essential for the insurance company to process your request accurately.
3. Indicate the reason for the loss. Whether the policy was misplaced, destroyed, or stolen, providing a brief explanation will help the insurance company understand the circumstances surrounding the loss.
4. Include the policy number, if you have it. This number is crucial for the insurance company to locate your policy in their records and ensure that the correct policy is being reissued.
5. Mention any additional details regarding the lost policy that could be helpful. This may include the date of issuance, any co-policyholders or beneficiaries, or any other relevant information that can assist the insurance company in processing your request.
6. Sign and date the declaration form to authenticate your request. By signing, you are asserting that the information provided is true and accurate to the best of your knowledge.

Who needs a lost policy declaration form:

1. Individuals who have lost or misplaced their insurance policy document may need to fill out a lost policy declaration form.
2. Policyholders who have had their policy stolen or destroyed also require this form to initiate the process of reissuing the policy.
3. This form is necessary for anyone who needs to formally declare and report the loss of their insurance policy to the insurance company.

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What is lost policy declaration form?

Lost policy declaration form is a document used to report lost insurance policies.

Who is required to file lost policy declaration form?

Insurance policyholders are required to file lost policy declaration form.

How to fill out lost policy declaration form?

Lost policy declaration form can be filled out by providing details such as policy number, policyholder information, date of loss, and reason for loss.

What is the purpose of lost policy declaration form?

The purpose of lost policy declaration form is to notify the insurance company about lost policies and request for duplicate copies.

What information must be reported on lost policy declaration form?

Information such as policy number, policyholder name, date of loss, reason for loss, and any supporting documents must be reported on lost policy declaration form.