Get the free Non-Smoker Certification

This document certifies the non-smoking status of a subscriber or applicant for LifeWise insurance, allowing for discounted subscription charges.

How to fill out non-smoker certification

How to fill out Non-Smoker Certification

1. Obtain the Non-Smoker Certification form from the relevant authority or organization.
2. Read the instructions carefully before filling out the form.
3. Provide your personal information such as name, address, and date of birth in the appropriate sections.
4. Indicate your smoking status by checking the relevant box (e.g., ‘Non-Smoker’).
5. If required, provide additional information about your smoking history or cessation efforts.
6. Sign and date the form to certify that the information provided is accurate.
7. Submit the completed form to the designated office or organization.

Who needs Non-Smoker Certification?

1. Individuals applying for health insurance policies that favor non-smokers.
2. People looking to enroll in certain wellness programs or initiatives that promote non-smoking.
3. Applicants for housing or rental agreements that require proof of non-smoking status.
4. Employees in workplaces with no-smoking policies that require certification.

People Also Ask about

When can I class myself as a non-smoker?

A non-smoker is someone who last smoked cigarettes or cigars, used a pipe or any other form of tobacco or nicotine products, including e-cigarettes or nicotine replacement products more than 5 years ago.

When can you class yourself as a non-smoker?

If you gave up one to five years ago, we can consider different rates, and if you haven't used tobacco or nicotine related products for five years, we'll class you as a non-smoker for life insurance. Different insurers may have different guidelines, so make sure you check with them.

How long until I can call myself a non-smoker?

As soon as you have had your last cigarette, call yourself a non-smoker.

When can I consider myself a non-smoker?

Think of yourself as a non-smoker from the moment that you quit.

What is considered a non-smoker?

Former smoker: An adult who has smoked at least 100 cigarettes in his or her lifetime but who had quit smoking at the time of interview. Never smoker: An adult who has never smoked, or who has smoked less than 100 cigarettes in his or her lifetime.

When can I say I'm a non-smoker?

You should not have used any tobacco or nicotine products for 12 months to be considered a non-smoker. This includes tobacco, vaping and even nicotine patches.

For pdfFiller’s FAQs

What is Non-Smoker Certification?

Non-Smoker Certification is a document used to verify that an individual does not smoke tobacco products, which may be required by insurance companies or employers to qualify for certain benefits or premiums.

Who is required to file Non-Smoker Certification?

Individuals applying for health insurance or certain policies may be required to file a Non-Smoker Certification to qualify for non-smoker rates or benefits.

How to fill out Non-Smoker Certification?

To fill out a Non-Smoker Certification, individuals must provide personal information, attest their non-smoking status, and sometimes sign a declaration affirming the accuracy of the information provided.

What is the purpose of Non-Smoker Certification?

The purpose of Non-Smoker Certification is to help insurance companies assess risk and determine coverage options, as non-smokers typically have lower health risks and associated costs.

What information must be reported on Non-Smoker Certification?

The information reported on Non-Smoker Certification typically includes the individual's name, contact details, a declaration of non-smoking status, and sometimes the length of time since they quit smoking, if applicable.