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Get Allstate Online Printout Functions Form

R service department at 1-800-348-4489 8:15 A.M. to 4:30 P.M. Eastern Standard Time 1776 American Heritage Life Drive Jacksonville, Florida 32224-6687 CLAIMANT S STATEMENT PART A 1. a. Full Name of Deceased Insured (Last) (First) (M.I.) b. Policy Number(s) 2. Legal residence at time of death Street State City Zip Day Month Year 3. Date of Birth 4. Male 5. Date of Death Month 6. Place of Death City 7. Cause of Death 8. When did Deceased first complain of, or give other.

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