Get Insular Life Specimen Affirmation Form

Completing the Insular Life Specimen Affirmation Form online is a straightforward process that ensures your signatures are accurately represented. This guide walks you through each section for a seamless experience.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Insular Life Specimen Affirmation Form and open it in your preferred editor.
2. Enter the date in the designated space provided at the top of the form. This date indicates when the affirmation is being made.
4. In the section labeled 'RE:', fill in your policy number accurately, ensuring that all characters are correct and complete.
5. In the 'I, the undersigned' section, clearly print your full name in the specified space. This confirms your identity as the policyholder.
6. List your signatures in the spaces provided. You must enter at least three signatures, demonstrating the authenticity and interchangeability of their use.
8. Once you have filled out the necessary fields, sign and print your name in the designated area at the bottom of the form.
10. In the witness section, the individual witnessing your signature must print their name, sign, and indicate their relationship to you.
12. After reviewing all completed fields for accuracy, you can save your changes, download the form, print it, or share it as needed.

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