Get Lic Juvenile Fmr Form

Filling out the Lic Juvenile Fmr Form online can streamline the application process for securing life insurance for a child. This guide provides step-by-step instructions on each section of the form, ensuring that you have a clear understanding of how to complete it accurately.

Follow the steps to fill out the Lic Juvenile Fmr Form online easily.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the zone, division, and branch information. This includes the specific location related to the insurance policy.
3. Input the proposal number and agent or direct office code for tracking purposes.
4. In the introduced by section, ensure to include the name and signature of the person introducing the policy.
5. Fill in the name of the child, marking whether the child is a Master or Miss, and provide any identifying marks such as moles or scars.
6. State the current ID, student passport details, or latest school report card, as required.
7. Indicate the child's age in years and months, and specify their sex.
8. Complete the birth history section, ticking the relevant option regarding the delivery method.
9. Proceed to the details of physical examination, entering the child's height and weight. Also, record pulse, blood pressure, and any congenital defects.
10. In the medical history section, answer each question regarding the child's health condition, previous treatments, and family health history.
11. For children aged five years or younger, complete the immunization history, indicating vaccinations received.
12. In the medical examination section, provide details on any observed abnormalities across various body systems.
13. Have the parent confirm all facts regarding the child’s information with their signature and name.
14. The examining doctor must also sign the declaration, recording their details and ensuring all information is accurate.
15. After reviewing the completed form, save changes, download, print, or share it as necessary.

Complete the Lic Juvenile Fmr Form online today to secure your child's future.