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Assuring Life Insurance Company P.O. Box 19040 Kalamazoo, MI 49019-0040 Phone: 269-343-2611 Fax: 269-349-3275 www.groupmarketingservices.com Group Life Insurance Claim Form Beneficiary Statement To
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Who needs assurity forms:

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Individuals applying for life insurance or disability insurance may need to fill out assurity forms.
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Assurity forms may also be required by beneficiaries or claimants in order to initiate a claim process.
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Business entities may also need to fill out assurity forms, depending on their specific requirements and agreements.
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Assurity forms are official documents used to provide assurance or confirmation regarding specific conditions or requirements, often related to compliance, eligibility, and financial assurance in various contexts.
Individuals or organizations that need to demonstrate compliance with certain regulations, warranties, or contractual obligations are typically required to file assurity forms.
To fill out assurity forms, one should carefully read the instructions provided, enter the required information accurately, ensure all fields are completed, validate the details, and then submit the form according to the specified guidelines.
The purpose of assurity forms is to legally confirm that certain conditions are met, guarantee compliance with laws and regulations, and provide assurance to stakeholders regarding the integrity and reliability of information provided.
Information that must be reported on assurity forms typically includes identification details of the entity filing the form, compliance certifications, relevant dates, specific conditions being assured, and any other pertinent data required by the regulatory body.
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