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Group Questionnaire for new Groups 51 OR MORE Employees (This form to be completed when sale is final) Independent Producer Name: (please print) Premium Enclosed: $ GROUP INFORMATION: Group Number:

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What is 3-471 04-13 group questionnaireindd?

3-471 04-13 group questionnaireindd is a specific form used for reporting group information.

Who is required to file 3-471 04-13 group questionnaireindd?

Any group or organization that meets the criteria set forth in the form instructions is required to file 3-471 04-13 group questionnaireindd.

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The form must be filled out completely and accurately following the instructions provided with the form.

What is the purpose of 3-471 04-13 group questionnaireindd?

The purpose of 3-471 04-13 group questionnaireindd is to gather important group information for reporting purposes.

What information must be reported on 3-471 04-13 group questionnaireindd?

The form typically requires information such as group name, contact information, financial details, and other relevant data.

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