INFORMATION 1.1 OTHER INSURANCE IN FORCE OR PENDING Does the child currently hold a life (LIFE) or critical illness (CI) insurance contract or have a pending application for any of these types of insurance? Yes No If so, provide the details of these contracts or applications. Year and month issued (check if pending) Year Personal/ business Month Pending Will the insurance applied for replace the existing insurance contract? Complete the prior notice of replacement, if required. LIFE C.
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How to fill out the La Capitale IND044E online
Filling out the La Capitale IND044E online is a straightforward process that helps obtain insurability for children under age 18. This guide will walk you through each section of the form, ensuring that you provide all necessary information accurately.
Follow the steps to complete the form with ease.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Enter the proposed insured child’s last name and first name in the designated fields. Ensure names are spelled correctly as these details are crucial for identification.
- Provide the date of birth by selecting the year, month, and day from the drop-down options.
- Input the application or contract number, if applicable. This may be located in previous insurance documents.
- In the personal information section, answer whether the child currently holds any life or critical illness insurance by checking 'Yes' or 'No.' If applicable, give details about existing contracts.
- For previous insurance coverage, indicate if the child has had any applications for insurance declined, deferred, or modified, and provide specific details if necessary.
- Answer questions related to the child’s family history, including details of siblings, and any insurance in force or pending for family members.
- Complete the tobacco use and alcohol consumption sections by indicating the child’s usage patterns and any relevant details.
- In the medical information section, check 'Yes' or 'No' for various health conditions and provide detailed information wherever required.
- Fill out any necessary additional information regarding medical history, including physicians consulted.
- Obtain signatures from the policyholder, the proposed insured child (or their legal guardian), and the advisor in the declarations and signatures section.
- Review all entered information for accuracy and ensure any additional sheets are attached if needed.
- Once all steps are complete, save your changes. You may also download, print, or share the form as necessary.
Complete your La Capitale IND044E online today to ensure your child's insurability!
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