Get the free NON-SMOKER STATEMENT

CONFIDENTIAL NONSMOKER STATEMENT Policy Owner Details Life Insured Name Policy Number Policy Owner Name (If Applicable)Duty of Disclosure What you must tell us When we are considering your alteration

How to fill out non-smoker statement

How to fill out non-smoker statement

1. To fill out a non-smoker statement, follow these steps:
2. Start by writing your full name and contact information at the top of the statement.
3. Declare that you are a non-smoker by stating 'I certify that I am a non-smoker.'
4. Provide supporting evidence of your non-smoking status. This may include mentioning the number of years you have been a non-smoker or any relevant medical records.
5. Sign and date the statement to indicate that the information provided is true and accurate.
6. If required, have the statement notarized by a certified notary public.
7. Keep a copy of the filled-out non-smoker statement for your records.
8. Submit the statement to the appropriate entity or organization that requires it as proof of your non-smoking status.

Who needs non-smoker statement?

1. Non-smoker statements are typically required by insurance companies, employers, or any organization that offers benefits or discounts to non-smokers.
2. Some common instances where a non-smoker statement may be needed include:
3. - Applying for life insurance
4. - Seeking employment in smoke-free environments
5. - Qualifying for lower health insurance premiums
6. - Participating in wellness programs that offer non-smoker incentives.
7. It is best to check with the specific organization or entity to determine if a non-smoker statement is needed.

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What is non-smoker statement?

Non-smoker statement is a form or document where an individual declares that they do not smoke or use tobacco products.

Who is required to file non-smoker statement?

Non-smoker statement is typically required to be filed by individuals who are applying for certain insurance policies or benefits.

How to fill out non-smoker statement?

To fill out a non-smoker statement, an individual must provide their personal information and declare that they do not smoke or use tobacco products.

What is the purpose of non-smoker statement?

The purpose of a non-smoker statement is to accurately assess the risk and determine the premium rates for the insurance policies or benefits.

What information must be reported on non-smoker statement?

The information reported on a non-smoker statement usually includes personal details such as name, date of birth, contact information, and the declaration of non-smoker status.