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Get DC Standard Insurance Company SI 5381-DC 2017

Attached to and made part of the application for insurance. In this application supplement, you and your mean the proposed insured. Proposed Insured Birth Date 1. List and describe the occupational duties of your primary occupation by completing a and b below. a. Occupational duties regularly performed on a daily or weekly basis (check one): Task Percentage of Time* *The total percentage of time should add up to 100%. If not, list other tasks in b below. b. Occupational du.

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