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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION AGREEMENT FOR LICENSURE OF COMMUNITY CARE FACILITY/CHILD CARE FACILITY
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How to fill out lic 996 a

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How to fill out LIC 996 A:

01
Start by downloading the LIC 996 A form from the official website of the Life Insurance Corporation (LIC) or obtain a physical copy from one of their branches.
02
Read the instructions provided on the form carefully to understand the purpose and requirements of LIC 996 A.
03
Begin by filling in your personal information accurately, including your full name, date of birth, address, and contact details.
04
Provide details about your existing life insurance policy, such as the policy number, date of commencement, and sum assured.
05
If you have any previous life insurance policies with LIC, mention their details in the relevant section.
06
Next, indicate the type of policy you wish to convert your existing policy to, such as an endowment plan, money-back policy, or whole life policy.
07
Specify the mode of premium payment, whether monthly, quarterly, half-yearly, or annually, according to your preference.
08
Choose the premium amount you are willing to pay and mention it in the appropriate space.
09
Sign and date the form to certify that the information provided is accurate to the best of your knowledge.
10
Finally, submit the completed LIC 996 A form along with any necessary supporting documents to the nearest LIC branch or as instructed on the form.

Who needs LIC 996 A?

01
Individuals who currently hold a life insurance policy with LIC and wish to convert it into a different type of policy.
02
Policyholders looking to modify their premium payment frequency or amount.
03
Any LIC customer who wants to make changes to their existing life insurance policies, such as adding or removing riders or opting for additional benefits.
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Lic 996 a is a form used for reporting certain information to the relevant authority.
Entities specified by the authority are required to file lic 996 a.
Lic 996 a can be filled out online or by submitting a physical form to the authority.
The purpose of lic 996 a is to ensure compliance and transparency in reporting certain information.
Information such as financial data, operational details, and other relevant information must be reported on lic 996 a.
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