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New Hampshire Insurance Company Administrative Office: 70 Pine Street New York, NY 10270 (212) 7707000 CERTIFICATE DECLARATIONSThis Certificate is attached to and made a part of a Master Policy #11050947.

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What is this certificate is attached?

This certificate is a proof of completion for a training course.

Who is required to file this certificate is attached?

Employees who have completed the training course are required to file this certificate.

How to fill out this certificate is attached?

The certificate should be filled out with the employee's name, date of completion, and signature of the trainer.

What is the purpose of this certificate is attached?

The purpose of this certificate is to document and verify that the employee has completed the required training.

What information must be reported on this certificate is attached?

The certificate must include the employee's name, date of completion, and name of the training course.

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