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Print Form AFL AC CANCELLATION NOTICE Date: I, do hereby request cancellation (print name of insured) of policy. (type of policy) (policy number) Please make this cancellation effective. (date) Insureds
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Agent - fax to is the designated individual or organization who will receive fax communications on behalf of the filer.
Any individual or organization who anticipates receiving fax communications related to a specific matter must file agent - fax to.
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The purpose of agent - fax to is to ensure that fax communications related to a specific matter are received by the designated individual or organization.
The information that must be reported on agent - fax to includes the name, address, and contact information of the designated agent who will receive fax communications.
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