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AXIS CL 0155 02 08-Page 1 of 1PUNITIVE DAMAGES EXCLUSION REQUEST Insurance Company: Policy Number: Named Insured:In exchange for a reduction in premium, I hereby request that a Punitive Damages Exclusion
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How to fill out punitive damages exclusion request

01
To fill out a punitive damages exclusion request, follow these steps:
02
Start by opening the request form provided by the relevant authority or court.
03
Read the instructions and requirements carefully to ensure you meet all the criteria.
04
Provide your personal information, including your full name, address, and contact details.
05
Clearly state the case number and the court where the case is being heard, if applicable.
06
Explain your reasons for requesting a punitive damages exclusion. This may include providing evidence or supporting documents to strengthen your case.
07
Make sure to clearly specify the type of damages you are seeking to exclude, such as punitive damages.
08
Review the completed form to ensure all information is accurate and complete.
09
Sign and date the form.
10
Submit the form to the appropriate authority or court as instructed.
11
Keep a copy of the completed form for your records.

Who needs punitive damages exclusion request?

01
Anyone who is involved in a legal case where punitive damages may be awarded can benefit from filing a punitive damages exclusion request.
02
This may include defendants, individuals, or companies who want to exclude themselves from being held liable for punitive damages.
03
It is important to consult with a legal professional to determine if filing such a request is appropriate and necessary in your specific case.
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A punitive damages exclusion request is a formal request made by an insured party to exclude coverage for punitive damages in an insurance policy.
Typically, the insured individual or entity seeking exclusion of punitive damages from their insurance coverage must file the request.
To fill out a punitive damages exclusion request, one must provide accurate information about the policy, details regarding the punitive damages, and any other required identification.
The purpose of the punitive damages exclusion request is to clarify that the insurance policy does not cover punitive damages, which are intended to punish the insured for wrongdoing.
The request typically requires the insured's identification information, details of the policy, a statement of the request for exclusion, and any relevant case specifics.
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