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Get Assurity Forms 2011-2025
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How to fill out the Assurity Forms online
Filling out the Assurity Forms online can be straightforward when guided properly. Whether you are a beneficiary submitting a claim or an authorized representative, this guide will provide you with a clear understanding of each section within the forms.
Follow the steps to successfully complete the Assurity Forms online.
- Click ‘Get Form’ button to obtain the Claim Form and open it in your preferred editor.
- Begin with Section A: Deceased Information. Enter the deceased's social security number and full name, including last name, first name, and middle initial.
- Proceed to Section B: Information about you, the beneficiary. Fill in your name, social security number, and relationship to the employee.
- Provide your date of birth and answer whether you are a legal U.S. citizen. Ensure to include your current address, city, state, and zip code.
- If applicable, record the name of the spouse of the deceased and confirm if you were the current spouse.
- Include your phone number and, if you are a minor, input the name of your legal guardian along with their relationship to you.
- In the declaration section, ensure that you read the statement regarding fraud thoroughly and affirm that all information you provided is accurate.
- Sign and date the form to certify that the provided information is complete to the best of your knowledge.
- If you are acting as a representative, fill in your authority or relationship to the insured, sign, and date in the appropriate section.
- Once you have completed all sections of the form, you can save your changes, download the document, print it, or share it as required.
Complete your Assurity Forms easily and accurately online today.
Yes, Assurity has a solid reputation for providing reliable insurance products and customer support. They prioritize customer satisfaction and product transparency, ensuring clients understand their options fully. Utilizing Assurity Forms, clients can find clear, organized information that helps them make informed decisions.
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