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CERTIFICATION I hereby certify that the below referenced policy form submission and related rate filing, required to be in compliance with the requirements of the Patient Protection and Affordable
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It is a statement or declaration made by an individual to attest to the truthfulness and accuracy of certain information.
Individuals or entities who are requested to provide a signed statement verifying specific information.
Fill in the required information accurately and sign the document to certify its truthfulness.
The purpose is to ensure that the information provided is accurate and to hold the individual accountable for the truthfulness of their statements.
It depends on the specific requirements of the document, but typically it includes personal information or details related to the subject matter.
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