Get the free This form is to be completed only on request by Zurich Underwriting

ZU11841 - V5 02/17 - SRAN-012085-2017 ASC 1 Life insured details Title Surname Given names Date of birth / Address State Postcode Contact details Work Home Mobile Email Zurich Australia Limited ABN 92 000 010 195 AFSLN 232510. Com.au or contact the Zurich Privacy Officer on 132 687 or email us at privacy. officer zurich. com.au. Underwriting Diabetes questionnaire This form is to be completed only on request by Zurich Underwriting. If the failure to tell us is fraudulent we may refuse to pay...

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7. If you have any questions or need assistance, contact the relevant authorities or helpline.
8. Keep a copy of the filled-out form for your records.

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What is this form is to?

This form is used for tax reporting purposes.

Who is required to file this form is to?

Individuals and businesses meeting certain criteria are required to file this form.

How to fill out this form is to?

This form can be filled out manually or electronically, following the instructions provided by the tax authorities.

What is the purpose of this form is to?

The purpose of this form is to report income, expenses, deductions, and credits for tax purposes.

What information must be reported on this form is to?

Information such as income, expenses, deductions, and credits must be reported on this form.