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Agent Contracting Mitford AGENT USE ONLY. NOT FOR USE WITH CONSUMERS. Product availability, features and rates may vary by state. Assuring Life Insurance Company of New York Admin. Office: P.O. Box

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How to fill out duplicate policy request

01

Contact your insurance company or agent to request a duplicate policy.

02

Provide your policy number, personal information, and reason for needing a duplicate policy.

03

Sign any necessary forms or documents for the request.

04

Pay any required fees for processing the duplicate policy request.

05

Verify the accuracy of the duplicate policy before storing it in a safe place.

Who needs duplicate policy request?

01

Anyone who has lost their original insurance policy.

02

Individuals who require proof of insurance for specific purposes.

03

Policyholders who want to have an extra copy of their policy for personal records.

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What is duplicate policy request?

A duplicate policy request is a formal request made to obtain a copy of an existing insurance policy.

Who is required to file duplicate policy request?

Any policyholder or authorized representative may file a duplicate policy request.

How to fill out duplicate policy request?

To fill out a duplicate policy request, the policyholder or authorized representative must provide their contact information, policy details, and reason for requesting a duplicate copy.

What is the purpose of duplicate policy request?

The purpose of a duplicate policy request is to obtain a copy of an existing insurance policy for record-keeping or verification purposes.

What information must be reported on duplicate policy request?

The duplicate policy request should include the policyholder's name, policy number, contact information, reason for request, and any other relevant details.

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