Get 21032 - Uba Group

Filling out the 21032 - UBA Group application form can be streamlined with a clear understanding of its components. This guide provides you with step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the 21032 - UBA Group form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by providing your personal details in the 'Contract Owner and Premium Payer' section. This includes your title, surname, first names, gender, date of birth, marital status, and place of birth. Ensure to provide accurate information.
3. In the 'Addresses' section, enter your email, residential address, and postal area, including postal codes. Provide your telephone numbers for home, work, and mobile.
4. Next, address the 'Insured Life (Child)' section if applicable. Enter the child's personal particulars and connection to the contract owner.
5. Determine the 'Method of Premium Payments.' You can select a stop order, debit order, or cash payment. Complete the necessary fields regarding your employment, including job title and signatures for authorization.
6. Specify contract details in the 'Contract Details' section, including payment frequency, term, and any rider benefits desired. Calculate and enter the total premium.
7. Complete the 'Insurability' section, addressing questions regarding work and health status truthfully.
8. Fill in the details of the doctor in case of further medical evaluations required and the beneficiary information, ensuring to attach necessary identification documents.
9. Review the 'Declaration' section. Carefully read the statements provided and confirm that all information is accurate before signing.
10. Final steps include ensuring that all sections are filled out completely. Save any changes made, and proceed to download, print, or share the completed form as needed.

Start filling out your 21032 - UBA Group application form online today to ensure your submission is completed efficiently!